Focal nodular hyperplasia of the liver imaging by differing modalities

The logistic approach in diagnosis of focal nodular hyperplasia (FNH) of the liver is discussed, based on the experience with three children. In only one child could the diagnosis be made without angiography. In that child the combination of hypervascularity on the radionuclide angiogram and uptake...

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Bibliographic Details
Published in:Pediatric radiology 1983-01, Vol.13 (2), p.77-81
Main Authors: D'Souza, V J, Sumner, T E, Watson, N E, Formanek, A G
Format: Article
Language:English
Subjects:
Adolescent
Angiography
Child
Diagnosis, Differential
Female
Humans
Hyperplasia - diagnosis
Hyperplasia - pathology
Liver - diagnostic imaging
Liver - pathology
Male
Radionuclide Imaging
Tomography, X-Ray Computed
Ultrasonography
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Summary:The logistic approach in diagnosis of focal nodular hyperplasia (FNH) of the liver is discussed, based on the experience with three children. In only one child could the diagnosis be made without angiography. In that child the combination of hypervascularity on the radionuclide angiogram and uptake of the radiocolloid by Kupffer cells was sufficient for the diagnosis of FNH. If the radionuclide scintigraphy is inconclusive, angiography has to be done to show the typical features of FNH, seen in all three patients. Only if scintigraphy and angiography are not able to differentiate FNH from hepatic adenoma, biopsy or exploratory laparotomy is indicated as a final diagnostic procedure. Ultrasonography or computerized tomography is of value only in screening for hepatic mass lesions.
ISSN:0301-0449
1432-1998
DOI:10.1007/BF02390106