Classification of hydatid liver cysts

J Gastroenterol Hepatol. 2005 Mar;20(3):352-9. doi: 10.1111/j.1440-1746.2005.03742.x.

Abstract

A number of investigations advocate various classification systems for liver hydatid cysts. However, none permits predicting the treatment outcome or making clinical decisions regarding medical treatment; open surgery; punction, aspiration, injection, reaspiration (PAIR); or laparoscopy. An international hydatid disease registry employing an uniform nomenclature and consistent reporting methods would allow more rational comparison of different management strategies. TN(R)C (topography, nature, recurrent, complication) classification is a comprehensive system based on four criteria: location (T), natural history (N), recurrence (R) and complications (C) of the cyst. This pictorial review illustrates the classification and puts accent of its clinical usefulness. The TN(R)C classification provides a standardized description formula of every liver hydatid cyst, permitting multiple comparisons and analyses.

Publication types

  • Review

MeSH terms

  • Animals
  • Decision Making
  • Digestive System Surgical Procedures / methods
  • Echinococcosis, Hepatic / classification*
  • Echinococcosis, Hepatic / surgery
  • Humans