excerpts from VHL Handbook
VHL is associated with multiple cysts in the liver called simple hepatic cysts. These relatively common lesions do not become malignant. They are present in 2–7% of the general population and can be seen using MRI, CT, or ultrasound imaging. Multiple cysts are more common in patients with certain diseases:
Polycystic liver disease
Polycystic kidney disease
One study found that 17% of VHL patients had liver cysts. None of these had been symptomatic.
This study also found other benign asymptomatic VHL lesions in the liver; liver adenomas in 3% and liver hemangiomas in 7% of VHL patients.
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