Resumen
La hiperplasia nodal focal es el segundo tumor benigno más frecuente del hígado, y debe incluirse en el diagnóstico diferencial de las lesiones sólidas hepáticas. Se presenta el caso de una paciente adolescente con dolor abdominal crónico y hallazgo de masa abdominal al examen físico y en los estudios de imágenes. Se realizó resección quirúrgica de la masa debido a la persistencia de la sintomatología y la incertidumbre en el diagnóstico. Se realiza una revisión de la literatura sobre este tema con el objetivo de conocer las indicaciones quirúrgicas en este tipo de patología.. (MÉD. UIS. 2010; 23(2):140-3).
Palabras clave: Hiperplasia nodal focal. Tumor hepático benigno. Nódulo hepático.
Referencias
1. Wasif N, Sasu S, Conway W, Bilchik A. Focal Nodular Hyperplasia: Report of an Unusual Case and Review of the Literature. The American Surgeon 2008;74:1100-3.
2. International working party. Terminology of nodular hepatocellular lesions. Hepatology 1995;22:983-93.
3. Buscarini E, Danesino C, Plauchu H. High prevalence of hepatic focal nodular hyperplasia in subjects with hereditary hemorrhagic telangiectasia. Ultrasound Med Biol 2004;30:1089-97.
4. Bioulac-Sage P, Rebouissou S, Da Cunha A. Clinical, morphologic, and molecular features defining so-called telangiectatic focal nodular hyperplasias of the liver. Gastroenterology 2005;128:1211-8.
5. Mathieu D, Kobeiter H, Maison P. Oral contraceptive use and focal nodular hyperplasia of the liver. Gastroenterology 2000;118:560-4.
6. Nguyen BN, Flejou JF, Terris B. Focal nodular hiperplasia of the liver: a comprehensive pathologic study of 305 lesions and recognition of new histologic forms. Am J Surg Pathol 1999;23:1441-54.
7. Weimann A, Rìnge B, Klempnauer J. Benign liver tumors: differential diagnosis and indication for surgery. World J Surg 1997;21:983-90.
8. Sadowski DC, Lee SS, Wanless IR. Progressive type of focal nodular hyperplasia characterized by multiple tumors and recurrence. Hepatology 1995;61:210-4.
9. Cherqui D, Rahmouni A, Charlotte F. Management of focal nodular hyperplasia and hepatocellular adenoma in young women: a series of 41 patients with clinical, radiological, and pathological correlations. Hepatology 1995;22:1674-81.
10. Lencioni R, Cioni D, Crocetti L. Magnetic resonance imaging of liver tumors. J Hepatol 2004;40:162-71.
11. Kim MJ, Lim HK, Kim SH. Evaluation of hepatic focal nodular hyperplasia with contrast-enhanced gray scale harmonic sonography: initial experience. J Ultrasound Med 2004;23:297-305.
12. Brancatelli G, Federle MP, Grazioli L. Focal nodular hyperplasia: CT findings with emphasis on multiphasic helical CT in 78 patients. Radiology 2001;219:61-8.
13. Grazioli L, Morana G, Federle MP. Focal nodular hyperplasia: morphologic and functional information from MR imaging with gadobenate dimeglumine. Radiology 2001;221:731-9.
14. Ba-Ssalamah A, Schima W, Schmook MT. Atypical focal nodular hyperplasia of the liver: imaging features of nonspecific and liver-specific MR contrast agents. Am J Roentgenol 2002;179:1447-56.
15. Broglia L, Bezzi M, Massa R. Computerized tomography, magnetic resonance, and nuclear medicine in the non-invasive diagnosis of focal nodular hyperplasia of the liver. Radiol Med 1998;96:218-25.
2. International working party. Terminology of nodular hepatocellular lesions. Hepatology 1995;22:983-93.
3. Buscarini E, Danesino C, Plauchu H. High prevalence of hepatic focal nodular hyperplasia in subjects with hereditary hemorrhagic telangiectasia. Ultrasound Med Biol 2004;30:1089-97.
4. Bioulac-Sage P, Rebouissou S, Da Cunha A. Clinical, morphologic, and molecular features defining so-called telangiectatic focal nodular hyperplasias of the liver. Gastroenterology 2005;128:1211-8.
5. Mathieu D, Kobeiter H, Maison P. Oral contraceptive use and focal nodular hyperplasia of the liver. Gastroenterology 2000;118:560-4.
6. Nguyen BN, Flejou JF, Terris B. Focal nodular hiperplasia of the liver: a comprehensive pathologic study of 305 lesions and recognition of new histologic forms. Am J Surg Pathol 1999;23:1441-54.
7. Weimann A, Rìnge B, Klempnauer J. Benign liver tumors: differential diagnosis and indication for surgery. World J Surg 1997;21:983-90.
8. Sadowski DC, Lee SS, Wanless IR. Progressive type of focal nodular hyperplasia characterized by multiple tumors and recurrence. Hepatology 1995;61:210-4.
9. Cherqui D, Rahmouni A, Charlotte F. Management of focal nodular hyperplasia and hepatocellular adenoma in young women: a series of 41 patients with clinical, radiological, and pathological correlations. Hepatology 1995;22:1674-81.
10. Lencioni R, Cioni D, Crocetti L. Magnetic resonance imaging of liver tumors. J Hepatol 2004;40:162-71.
11. Kim MJ, Lim HK, Kim SH. Evaluation of hepatic focal nodular hyperplasia with contrast-enhanced gray scale harmonic sonography: initial experience. J Ultrasound Med 2004;23:297-305.
12. Brancatelli G, Federle MP, Grazioli L. Focal nodular hyperplasia: CT findings with emphasis on multiphasic helical CT in 78 patients. Radiology 2001;219:61-8.
13. Grazioli L, Morana G, Federle MP. Focal nodular hyperplasia: morphologic and functional information from MR imaging with gadobenate dimeglumine. Radiology 2001;221:731-9.
14. Ba-Ssalamah A, Schima W, Schmook MT. Atypical focal nodular hyperplasia of the liver: imaging features of nonspecific and liver-specific MR contrast agents. Am J Roentgenol 2002;179:1447-56.
15. Broglia L, Bezzi M, Massa R. Computerized tomography, magnetic resonance, and nuclear medicine in the non-invasive diagnosis of focal nodular hyperplasia of the liver. Radiol Med 1998;96:218-25.
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