Benign liver tumors are rare in children the wide spectrum of different tumor entities makes individualized treatment concepts necessary judgment of the efficacy of new drugs such as propranolol for hepatic hemangiomas or crizotinib for alk positive inflammatory myofibroblastic tumors requires the establishment of an international registry for a better and fast assessment of the treatment efficacy. The diagnosis of a liver tumor not uncommonly causes anxiety and insecurity in those affected which is why a rapid and reliable diagnostic procedure should be carried out because some tumors particularly hepatocellular adenomas are of prognostic relevance due to the potential risk of malignant transformation a correct classification should always be strived for. Benign liver tumors form a heterogeneous group the most frequent forms include simple cysts hemangiomas focal nodular hyperplasia and hepatocellular adenomas they are often incidentally detected during routine sonography the diagnosis of a liver tumor not uncommonly causes anxiety and insecurit . Your best partner in the management of benign liver tumors is the radiologist an asymptomatic patient is likely to become symptomatic after surgery it is not because the tumor is easy to remove