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Focal nodular hyperplasia

DOI: 10.2298/sarh0508363c

Keywords: focal nodular hyperplasia , liver

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Thanks to ultrasonography, computed tomography, and nuclear magnetic resonance, not only symptomatic but also asymptomatic liver tumors are discovered more frequently than before. Focal nodular hyperplasia (FNH) is one such tumor, most frequently an asymptomatic tumor of the liver, which predominantly appears in women during the generative period, who have taken oral contraceptives for several years. We present a 27-year-old woman, who has never taken either oral contraceptives or other hormones, in whom a left lobe liver tumor was unexpectedly discovered during a routine investigation performed for psychiatric complaints. The tumor, removed by left lateral bisegmentectomy (segments II and 111), was composed of two tumoral nodes: 70x58x47 mm and 20x20x20 mm, the bigger one of which had a light grey central stellate scar. Histology revealed a focal nodular hyperplasia. The postoperative recovery was uneventful and the patient stayed symptom free for more than three years after surgery.


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