Multimodality management of focal nodular hyperplasia
Focal nodular hyperplasia (FNH) is the second most common benign mass of the liver. According to the current recommendations, removal makes relative indication. Several different treatment methods are known. The purpose of the paper is to provide a summary of FNH care and to present alternative treatment options in two cases. A 40-year old woman was investigated for abdominal complaints; CT scan confirmed FNH of the liver. Given the localization of the lesion, we chose transarterial embolization (TAE) due to the high risk of surgical resection. After multiple treatments, regression was achieved, and the patient became asymptomatic. Painful FNH in a 25-year-old female was confirmed by MRI. The lesion was dominantly seen in segment 1, causing vena cava compression and collaptiform episodes. As a definitive solution, liver resection was performed, after which her complaints ceased. Long-term follow-up of patients may be sufficient when asymptomatic FNH is detected. In the case of symptoms or high risk of surgery, TAE can be used effectively by FNH either alone or in combination with surgical treatment. For lower-risk patients, primary laparoscopic resection is the most appropriate choice.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2022 |
---|---|
Erschienen: |
2022 |
Enthalten in: |
Zur Gesamtaufnahme - volume:163 |
---|---|
Enthalten in: |
Orvosi hetilap - 163(2022), 15 vom: 10. Apr., Seite 606-612 |
Sprache: |
Ungarisch |
---|
Weiterer Titel: |
A focalis nodularis hyperplasia multimodális kezelése |
---|
Beteiligte Personen: |
Pekli, Damján [VerfasserIn] |
---|
Links: |
---|
Anmerkungen: |
Date Completed 12.04.2022 Date Revised 19.12.2022 published: Electronic-Print Citation Status MEDLINE |
---|
doi: |
10.1556/650.2022.32439 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM339284463 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM339284463 | ||
003 | DE-627 | ||
005 | 20231226002542.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231226s2022 xx |||||o 00| ||hun c | ||
024 | 7 | |a 10.1556/650.2022.32439 |2 doi | |
028 | 5 | 2 | |a pubmed24n1130.xml |
035 | |a (DE-627)NLM339284463 | ||
035 | |a (NLM)35398818 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a hun | ||
100 | 1 | |a Pekli, Damján |e verfasserin |4 aut | |
245 | 1 | 0 | |a Multimodality management of focal nodular hyperplasia |
246 | 3 | 3 | |a A focalis nodularis hyperplasia multimodális kezelése |
264 | 1 | |c 2022 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 12.04.2022 | ||
500 | |a Date Revised 19.12.2022 | ||
500 | |a published: Electronic-Print | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Focal nodular hyperplasia (FNH) is the second most common benign mass of the liver. According to the current recommendations, removal makes relative indication. Several different treatment methods are known. The purpose of the paper is to provide a summary of FNH care and to present alternative treatment options in two cases. A 40-year old woman was investigated for abdominal complaints; CT scan confirmed FNH of the liver. Given the localization of the lesion, we chose transarterial embolization (TAE) due to the high risk of surgical resection. After multiple treatments, regression was achieved, and the patient became asymptomatic. Painful FNH in a 25-year-old female was confirmed by MRI. The lesion was dominantly seen in segment 1, causing vena cava compression and collaptiform episodes. As a definitive solution, liver resection was performed, after which her complaints ceased. Long-term follow-up of patients may be sufficient when asymptomatic FNH is detected. In the case of symptoms or high risk of surgery, TAE can be used effectively by FNH either alone or in combination with surgical treatment. For lower-risk patients, primary laparoscopic resection is the most appropriate choice | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a Journal Article | |
650 | 4 | |a combined modality therapy | |
650 | 4 | |a focal nodular hyperplasia | |
650 | 4 | |a focalis nodularis hyperplasia | |
650 | 4 | |a liver neoplasm | |
650 | 4 | |a liver surgery | |
650 | 4 | |a multimodális kezelés | |
650 | 4 | |a májsebészet | |
650 | 4 | |a májtumor | |
650 | 4 | |a transarterial embolisation | |
650 | 4 | |a transarterialis embolisatio | |
700 | 1 | |a Kokas, Bálint |e verfasserin |4 aut | |
700 | 1 | |a Bárdos, Dávid |e verfasserin |4 aut | |
700 | 1 | |a Fülöp, András |e verfasserin |4 aut | |
700 | 1 | |a Pajor, Péter |e verfasserin |4 aut | |
700 | 1 | |a Hahn, Oszkár |e verfasserin |4 aut | |
700 | 1 | |a Illyés, Ildikó |e verfasserin |4 aut | |
700 | 1 | |a Kovács, Attila |e verfasserin |4 aut | |
700 | 1 | |a Szijártó, Attila |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Orvosi hetilap |d 1949 |g 163(2022), 15 vom: 10. Apr., Seite 606-612 |w (DE-627)NLM000021601 |x 1788-6120 |7 nnns |
773 | 1 | 8 | |g volume:163 |g year:2022 |g number:15 |g day:10 |g month:04 |g pages:606-612 |
856 | 4 | 0 | |u http://dx.doi.org/10.1556/650.2022.32439 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 163 |j 2022 |e 15 |b 10 |c 04 |h 606-612 |