6533b850fe1ef96bd12a85bd

RESEARCH PRODUCT

Imaging of Hepatic Focal Nodular Hyperplasia: Pictorial Review and Diagnostic Strategy

Giuseppe SalvaggioMarco Dioguardi BurgioMaxime RonotMaxime RonotValérie VilgrainValérie VilgrainGiuseppe Brancatelli

subject

Diagnostic Imagingmedicine.medical_specialtyPathologyContrast Media030218 nuclear medicine & medical imagingDiagnosis DifferentialHemangioma03 medical and health sciences0302 clinical medicinemedicineMedical imagingHumansRadiology Nuclear Medicine and imagingMedical diagnosismedicine.diagnostic_testbusiness.industryFocal nodular hyperplasiaMagnetic resonance imagingHepatocellular adenomamedicine.diseaseFocal Nodular Hyperplasia030220 oncology & carcinogenesisHepatocellular carcinomaRadiologyDifferential diagnosisbusinessHuman

description

Focal nodular hyperplasia (FNH) is the second most common benign solid liver lesion after hemangioma, occurring more frequently in young women. The prime differential diagnoses include hepatocellular adenoma, hepatocellular carcinoma, and hypervascular metastasis. As the management of FNH is typically conservative, imaging plays a key role in diagnostic pathway, and misdiagnosis may have a major clinical effect. In this article, we describe the ultrasound, computed tomography, and magnetic resonance imaging features of FNH, underlining the importance of typical radiological features that allow a specific noninvasive diagnosis. We present a large spectrum of a typical imaging findings that FNH may present and discuss the up-to-date diagnostic strategy.

https://doi.org/10.1053/j.sult.2016.08.001