Multiple Focal Nodular Hyperplasia and Steatohepatitis: Atypical Imaging Characteristics. (1st February 2001)

• Record Type: Journal Article
• Authors: Myers, Robert P; Downey, Dónal; Chakrabarti, Subrata; Marotta, Paul J
• Is Part Of: Canadian Journal of Gastroenterology. Volume 15:Number 2(2001)
• Page Start: 137
• Page End: 142
• Publication Date: 2001-02-01
• Subjects: Case report -- Fatty liver -- Focal nodular hyperplasia -- Hepatic neoplasms
• DOI: 10.1155/2001/419259
• Languages: English
• ISSNs: 0835-7900

Abstract

Abstract : Focal nodular hyperplasia is a rare, benign condition of the liver. A 28-year-old woman with malignant melanoma, mild liver enzyme abnormalities, steatohepatitis and newly documented hepatic lesions is described. Ultrasound, computed tomography and magnetic resonance imaging suggested only areas of focal fatty sparing but could not eliminate the concern for metastases. A 99m technetium-labelled sulphur colloid scan, however, revealed areas of increased uptake consistent with multiple focal nodular hyperplasia. This diagnosis was ultimately confirmed with a liver biopsy. The investigation of a patient with a malignancy and expanding hepatic lesions is challenging. This case illustrates the usefulness of the 99m technetium-labelled sulphur colloid scan in the evaluation of patients with hepatic lesions.