Significant numbers of liver biopsies fail to yield representative tissue samples. This study was conducted to evaluate the ability of LED-based diffuse reflectance spectroscopy to discriminate tumors from liver parenchyma. Ex vivo spectra were acquired from malignant lesions and liver parenchyma of 32 patients who underwent liver resection using a white light source and several LEDs. Integrated spectra of two combined LEDs with emission peaks at 470 nm and 515 nm were classified with 98.4% sensitivity and 99.2% specificity. The promising results could yield to a simple handheld and cost-efficient tool for real-time tissue differentiation implemented in a biopsy needle. H. Hendriks, J. Wesseling, and T. J. Ruers, "Improved identification of peripheral lung tumors by using diffuse reflectance and fluorescence spectroscopy," Lung Cancer 80(2), 165-171 (2013). 1929-1939 (2002). 194-203 (1998).