Focal nodular hyperplasia in children: an institutional experience with review of the literature

Journal of Pediatric Surgery
Irene T MaSanjeev A Vasudevan

Abstract

Focal nodular hyperplasia (FNH) is uncommonly diagnosed in pediatric patients and may be difficult to distinguish from a malignancy. We present a review of all children with a tissue diagnosis of FNH at our institution, describe the diagnostic modalities, and provide recommendations for diagnosis and follow-up based on our experience and review of the literature. A retrospective review of children <18years of age diagnosed with FNH at a single institution was performed from 2000 to 2013. Twelve patients were identified with a tissue diagnosis of FNH. Two patients required surgical resection of their lesion owing to concern for malignancy. Ten patients were managed expectantly with imaging surveillance after biopsy confirmed a diagnosis of FNH. All patients who underwent MRI had very typical findings including hypointensity on T1 weighted sequences, hyperintensity on T2, and homogenous uptake of contrast on the arterial phase. On follow-up all patients had either a stable lesion or reduction in size. Focal nodular hyperplasia presents typically in children with liver disease, have undergone chemotherapy, and adolescent females. Young children, particularly <5years of age, without underlying liver disease or history of chemothera...Continue Reading

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Citations

Oct 6, 2017·Abdominal Radiology·Aikaterini NtouliaSusan J Back
Apr 25, 2018·Proceedings·Juhi KoolwalKelly D Mattix
Mar 7, 2021·Diagnostics·Bryony LucasIrina Pateva
Mar 13, 2021·Surgical Oncology Clinics of North America·Rebecka MeyersGreg M Tiao
Feb 15, 2020·Journal of Pediatric Surgery·Angelo ZarfatiSophie Branchereau

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