AI Article Synopsis
- - Focal nodular hyperplasia (FNH) is a rare, non-cancerous liver tumor often found in young women and may require treatment if there's a risk of it bursting.
- - A case involving a 22-year-old woman with a large, 15 cm asymptomatic FNH tumor that was protruding from her liver prompted a surgical decision due to rupture risk.
- - The surgery successfully combined preoperative transcatheter arterial embolization, which reduced the tumor size and controlled bleeding, leading to a safe laparoscopic liver resection, highlighting an effective treatment strategy for similar tumors.
Article Abstract
Focal nodular hyperplasia (FNH) is a rare benign hepatic tumor which is frequently observed in women of reproductive age, and therapeutic intervention needs to be considered in cases wherein the tumor has a risk of rupture. The laparoscopic approach is beneficial, especially for young women, but is often challenging because the tumor is large and hemorrhagic. Herein, we report a case of large FNH in a 22-year-old woman. The patient was asymptomatic; however, the tumor was approximately 15 cm in diameter and protruded from the liver. Given the risk of rupture, we decided to perform surgical resection. Preoperative transcatheter arterial embolization led to rapid shrinkage of the tumor and control of intraoperative bleeding, which enabled us to safely perform laparoscopic liver resection. The combination of surgical resection with intravascular embolization may be a promising therapeutic option for hypervascular tumors such as FNH.
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| http://dx.doi.org/10.1111/ases.13188 | DOI Listing |
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