Confluent focal nodular hyperplasia mimicking liver cancer: value of liver-specific contrast-enhanced MRI for diagnosis.

Abstract

Focal nodular hyperplasia is the second most common benign hepatic tumor. Unlike adenoma as well as the malignant neoplasms, focal nodular hyperplasia can often be managed successfully without surgery. Use of liver-specific contrast-enhanced magnetic resonance imaging allows clinicians to confirm the diagnosis noninvasively in some patients, allowing select patients to avoid surgery. We report a case of a patient who presented with the rare profile of multiple, confluent lesions that were diagnosed, using magnetic resonance imaging with gadolinium-dimeglumine, as focal nodular hyperplasia. This complicated case was managed successfully and noninvasively based on algorithm found in the recent literature that allows patients to avoid unnecessary surgery.

• Authors: Yu-Chi Cheng, Chih-Ming Chiang, Cheng-Chung Wu, Jyh-Wen Chai
• Journal: Journal of the Chinese Medical Association : JCMA (J Chin Med Assoc) Vol. 75 Issue 7 Pg. 355-8 (Jul 2012) ISSN: 1728-7731 [Electronic] Netherlands
• PMID: 22824052 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012. Published by Elsevier B.V.

Chemical References

• Contrast Media

Topics

• Adolescent
• Contrast Media
• Female
• Focal Nodular Hyperplasia (diagnosis)
• Humans
• Image Enhancement
• Liver Neoplasms (diagnosis)
• Magnetic Resonance Imaging (methods)