Cystic International consensus on nomenclature framework for cystic<unk>  surgery For simple cases of cystic<unk> , the most common form of treatment is open surgical removal of the cysts combined with chemotherapy using albendazole and/or mebendazole before and after surgery. However, if there are cysts in multiple organs or tissues, or the cysts are in risky locations, surgery becomes impractical. For inoperable cases such as these, chemotherapy and/or PAIR (puncture-aspiration-injection-reaspiration) become alternative options of treatment. In the case of alternative treatment using just chemotherapy, albendazole is preferred twice a day for 1–5 months. An alternative to albendazole is mebendazole for at least 3 to 6 months. The other alternative to surgery is PAIR with chemotherapy. PAIR is a minimally invasive procedure that involves three steps: puncture and needle aspiration of the cyst, injection of a scolicidal solution for 20–30 min, and cyst-re-aspiration and final irrigation. People who undergo PAIR typically take albendazole or mebendazole from 7 days before the procedure until 28 days after the procedure. While open surgery still remains as the standard for cystic<unk>  treatment, there have been a number of studies that suggest that PAIR with chemotherapy is more effective than surgery in terms of disease recurrence, and morbidity and mortality. In addition to the three above mentioned treatments, there is currently research and studies looking at new treatment involving percutaneous thermal ablation (PTA) of the germinal layer in the cyst by means of a radiofrequency ablation device. This form of treatment is still relatively new and requires much more testing before being widely used. An alternative to open surgery is laparoscopic surgery, which provides excellent cure rates with minimal morbidity and mortality. Alveolar For alveolar<unk> , surgical removal of cysts combined with chemotherapy (using albendazole and/or mebendazole) for up to two years after surgery is the only sure way to completely cure the disease. However, in inoperable cases, chemotherapy by itself can also be used. In treatment using just chemotherapy, one could use either mebendazole in three doses or albendazole in two doses. Since chemotherapy on its own is not guaranteed to completely rid of the disease, people are often kept on the drugs for extended periods of times (i.e. more than 6 months, years). In addition to surgery and chemotherapy, liver transplants are being looked into as a form of treatment for alveolar<unk>  although it is seen as incredibly risky since it often leads to<unk>  re-infection in the person afterwards. Polycystic Since polycystic<unk>  is constrained to such a particular area of the world and is not well described or found in many people, treatment of polycystic<unk>  is less defined than that of cystic and alveolar<unk> . While surgical removal of cysts was the treatment of choice for the previous two types of<unk> , chemotherapy is the recommended treatment approach for polycystic<unk> . While albendazole is the preferred drug, mebendazole can also be used if the treatment is to be for an extended period of time. Only if chemotherapy fails or if the lesions are very small is surgery advised.
Echinococcosis
Cholangiocarcinoma
Cholangiosarcoma
Cryptococcosis
Alveolar hydatid disease
Liver angiosarcoma
Amoebic liver abscess
Hepatocellular carcinoma