Does a liver cyst need to be removed if it has grown larger?

Whether a enlarged liver cyst needs to be surgically removed depends on a comprehensive assessment of the cyst's specific characteristics, the patient's symptoms, and overall health status. Details are as follows:

If the liver cyst is large in size but does not compress surrounding tissues or organs, and the patient has no discomfort such as abdominal pain, bloating, or indigestion, and if the cyst is benign with slow growth and the patient is otherwise in good health, surgical removal is usually not necessary after medical evaluation. Instead, regular follow-up imaging is sufficient to monitor any changes in the cyst's size and shape.

However, if the liver cyst continues to grow, compressing adjacent liver tissue, bile ducts, or gastrointestinal tract, leading to significant symptoms such as abdominal pain, jaundice, loss of appetite, nausea, or vomiting, or if there is risk of rupture or infection, or if malignancy cannot be completely ruled out, surgical removal should be considered to relieve symptoms, eliminate risks, and prevent further progression that could affect health.

After detection of a liver cyst, patients should have regular ultrasound, CT, or other imaging examinations at the hospital to track changes in the cyst. They should avoid strenuous physical activity or any abdominal trauma that might cause cyst rupture. A light, balanced diet is recommended, along with abstinence from alcohol to reduce liver strain. If symptoms such as abdominal discomfort or jaundice occur, prompt medical consultation is necessary to determine whether treatment adjustments are needed.