Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Sun, Dec 22, 2024
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Volume 12 - Case Supplement
Caspian J Intern Med 2021, 12 - Case Supplement : 460-463 |
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Vahedifard F, Mortezazadeh M, Mofidi A, Kashani M, Sharifi Rayeni A. Focal nodular hyperplasia in a 14-year-old child: A case report. Caspian J Intern Med 2021; 12 (S2) :460-463
URL: http://caspjim.com/article-1-2425-en.html
URL: http://caspjim.com/article-1-2425-en.html
MD, Internal Medicine Resident, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran , masoudmm1990@yahoo.com
Abstract: (2424 Views)
Background: Focal nodular hyperplasia (FNH) is a benign rare liver neoplasm in children and includes only 2% of all pediatric liver tumors. Here we reported the case of a 14-year-old girl with vague flank pain who was managed conservatively.
Case Presentation: Our case is a 14-year-old child (female), with a 5 cm diameter lesion in the right lobe of the liver in CT scan, and histologic findings compatible with FNH. A solid mass lobulated contour, intense enhancement with a hypodense central area, possibly indicative of central scar, was seen. Despite her mild flank pain we did not insist on surgical resection and managed her conservatively. Her pain resolved 2 weeks later and an imaging follow-up with ultrasound 6 months later showed no increase in size or numbers.
Conclusion: FNH is an uncommon mass lesion in children. Our patient had mild symptomatic severity, and several guidelines recommend surgical treatment in this condition, but our team performed conservative and medical treatment for her and got the desired result. Therefore, the combination of these factors raises the importance of introducing the case. According to FNH’s nature, stability, complications, and evaluation of pain are essential to avoid unnecessary surgeries.
Case Presentation: Our case is a 14-year-old child (female), with a 5 cm diameter lesion in the right lobe of the liver in CT scan, and histologic findings compatible with FNH. A solid mass lobulated contour, intense enhancement with a hypodense central area, possibly indicative of central scar, was seen. Despite her mild flank pain we did not insist on surgical resection and managed her conservatively. Her pain resolved 2 weeks later and an imaging follow-up with ultrasound 6 months later showed no increase in size or numbers.
Conclusion: FNH is an uncommon mass lesion in children. Our patient had mild symptomatic severity, and several guidelines recommend surgical treatment in this condition, but our team performed conservative and medical treatment for her and got the desired result. Therefore, the combination of these factors raises the importance of introducing the case. According to FNH’s nature, stability, complications, and evaluation of pain are essential to avoid unnecessary surgeries.
Type of Study: case report |
Subject:
Gastroentrology
Received: 2020/07/16 | Accepted: 2021/01/9 | Published: 2021/07/24
Received: 2020/07/16 | Accepted: 2021/01/9 | Published: 2021/07/24
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