Liver Tumors

Care and treatment for benign liver tumors

Liver Tumor Care

You get individualized, compassionate care from the Liver Tumor Program at Lahey Clinic. Our liver tumor experts diagnose and treat benign and malignant liver and bile duct tumors so you get innovative treatments and ongoing support.

What Is a Liver Tumor?

A liver tumor is an abnormal growth of cells or tissues in the liver. Tumors can be noncancerous (benign) or cancerous (malignant).

There are three types of benign liver tumors. They include:

  • Hemangioma: This is the most common benign liver tumor. Hemangioma occurs more often in women. These tumors usually do not cause symptoms. Hemangiomas are commonly found incidentally on abdominal imaging.
  • Focal nodular hyperplasia (FNH): This is the second most common benign liver tumor. FNH forms from liver cells surrounding a central stellate scar. There is usually only one lesion.
  • Hepatocellular adenoma: This solid, benign liver tumor is uncommon. Hepatocellular adenomas are tied to medicines with estrogen (oral contraception) or anabolic androgens.

Learn more about benign liver tumors from the Liver Foundation.

Making a Diagnosis

Your doctor will use one or more tests to diagnose liver tumors. You may undergo specialized endoscopy, imaging, and cancer screening tests. These can include:

  • Endoscopic retrograde cholangiopancreatography (ERCP): Your doctor uses an endoscope to view your liver, pancreas and bile ducts.
  • Endoscopic ultrasound (EUS): Your specialist uses a camera and sound waves to make images of your digestive tract.
  • EUS with fluorescence in situ hybridization (FISH): The FISH method lets your doctor study gene changes in liver cells.
  • Cholangioscopy/SpyGlass: Your doctor uses miniature digital catheters to see your bile ducts. SpyGlass is a special viewing scope used in this procedure.
  • Magnetic resonance imaging (MRI): You lie in a tube that contains a strong magnet. The MRI machine creates detailed 3-D images of your liver and surrounding tissues.
  • Magnetic resonance cholangiopancreatography (MRCP): This advanced imaging test creates images of the pancreatic and biliary (bile duct) systems.
  • Computed tomography (CT) multiphasic imaging: You will likely receive contrast to enhance images. CT images help your doctor identify and diagnose lesions.
  • Positron emission tomography (PET-CT): This imaging combines PET and CT imaging. Highly detailed pictures help detect disease, make a diagnosis and monitor treatment.

More About Liver Tumors

What To Expect with Your Appointment

We make it easy to get an appointment. At Lahey, our liver tumor team prioritizes your care. It’s our goal to help you start treatment quickly.

You can take steps to get the most from your visit.

Prepare for Your Visit

Follow these tips to prepare for your appointment:

  • Know your insurance coverage: Contact your health insurance company to check what services are covered. You may need certain authorizations or referrals during your care. If you have questions, you can work with a Lahey financial coordinator.
  • Prepare a list of questions: Write down your questions for your care team. Bring a pen and paper to take notes. Here are some questions to consider:
    • What type of tumor or cancer do I have?
    • What is the extent of my disease?
    • What are my treatment choices?
    • What are the side effects of my treatment?
    • How can I learn more about my diagnosis, my treatment and how to cope?
    • How can I deal with my fear and anxiety?
    • What if I have financial or insurance concerns?
On the Day of Your Visit

Please be on time. We suggest you bring the following to your appointment:

  • Any images (X-rays, MRI or CT scans) or test results
  • A list of the prescriptions, over-the-counter medications and supplements or herbs you take
  • A list of your allergies or reactions to medications
  • Your list of questions for the care team

You should also bring a support person, family member or friend with you. It’s helpful if someone can assist you in gathering information about your health and treatment options.

After Your Visit

When you come to Lahey for liver tumor care, we surround you with support.

We know it can be tough to navigate the health system, so your care team includes dedicated support staff, such as:

  • Liver physician assistant
  • Nurse navigators (RN)
  • Transplant nurse navigator

Your support team can quickly answer your questions during any phase of care. We also regularly review your treatment plan with your doctors to ensure your care progresses as planned.

Treatments for Benign Liver Tumors

Your treatment will depend on your type of tumor, your symptoms and the tumor location. You and your care team discuss your options and create the best treatment plan.

Treatments we offer include:

  • Watchful waiting: Your care team monitors your symptoms. We use imaging to check the growth of your tumor. If your condition worsens, we provide the right treatment.
  • Surgery: Your doctor may recommend surgery to remove your liver tumor. We use a minimally invasive approach. In some cases, robotic surgery may be your best option.
  • Ablation: This is a type of interventional radiology treatment. Your doctor can use heat (microwave ablation or radiofrequency ablation) or cold (cryoablation) to destroy tumor cells without the need for surgery.
  • Transplant: If your tumors increase your risk for bleeding or cancer, your doctor may recommend a liver transplant. You get care from a specialized team of surgeons, nurses and technicians.
Liver Tumor Care Team

At Lahey, we use a team approach. You get advanced treatment and support from a wide range of specialists.

Liver Tumor Medical Team

Your medical care team may include:

  • Advanced endoscopists
  • Gastroenterologists
  • Hepatobiliary/transplant surgeons
  • Hepatology Physician Assistant (PA)
  • Interventional radiologists
  • Liver pathologist
Liver Tumor Support Team

You get ongoing support at Lahey from a team that stays by your side during your treatment journey. Your support team includes a:

  • Dietitian
  • Financial coordinator
  • Liver tumor administrative assistant/scheduler
  • Social worker
  • Specialty pharmacist

Additional Services

Your liver care team coordinates your care with other specialty providers throughout our medical center. This ensures you receive comprehensive, streamlined care.

Division of Transplant & Hepatobiliary Diseases

Experts in our Division of Transplant and Hepatobiliary Diseases specialize in the care of people with kidney, liver, bile duct and gallbladder disorders, and they also offer extensive research, education and training opportunities.