Large focal nodular hyperplasia of the liver treated with transcatheter arterial embolization and laparoscopic resection: A case report

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...

Full description

Saved in:
Bibliographic Details
Published in:Asian journal of endoscopic surgery 2023-07, Vol.16 (3), p.579-583
Main Authors: Sato, Hiroki, Monden, Kazuteru, Iwasaki, Toshimitsu, Hioki, Masayoshi, Sadamori, Hiroshi, Takakura, Norihisa
Format: Article
Language:English
Subjects:
Adult
Case reports
Embolization, Therapeutic
Female
focal nodular hyperplasia
Focal Nodular Hyperplasia - pathology
Focal Nodular Hyperplasia - surgery
Humans
Hyperplasia
laparoscopic liver resection
Laparoscopy
Liver
Liver Neoplasms - pathology
Liver Neoplasms - surgery
transcatheter arterial embolization
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.13188