Diagnosis and treatment for hepatic focal nodular hyperplasia
- VernacularTitle:肝脏局灶性结节性增生12例的诊断与治疗
- Author:
Li JIANG
;
Lisheng JIANG
;
Fuyu LI
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Diagnosis;
Therapy;
Focal nodular hyperplasia
- From:
Chinese Journal of General Surgery
2008;23(3):203-205
- CountryChina
- Language:Chinese
-
Abstract:
objective To investigate the diagnosis and treatment of hepatic focal nodular hyperplasia(FNH).Methods Twelve cases with hepatic focal nodular hyperplasia from January 2003 to December 2006 in our hospital were reviewed retrospectively. Results Three cases had epigastric discomfort(25%),5 cases with elevated ALT(41.67%),3 cases with elevated AST(25%),2 cases with elevated AFP(16.67%),one patient was of positive HBsAg(8.33%).The rate of preoperative correct diagnosis made by ultrasound,CT and MRI was 0,20%and 25%respectively,there was no significant difference between CT and MRI.Final diagnosis was established by stlrgical resection and pathology in 11 cases and by needle biopsy in one case.All cases recovered and were followed-up with an average of 28 months.No recurrence was found in cases undergoing surgical resection. Conclusion The rate of correct preoperative diagnosis for FNH is low,definite diagnosis depends on pathologic examination.The prognosis is good,however,most patients in this series underwent resection because of possible malignancy especially in eases of cirrhotics.
