Fleming Andrew M, Duffy Caitlyn, Gartrell Jessica, McCarville M Beth, Langham Max R, Ruiz Robert E, Santiago Teresa, Murphy Andrew J
Department of Surgery, St Jude Children's Research Hospital, Memphis, TN, USA.
Department of Oncology, St Jude Children's Research Hospital, Memphis, TN, USA.
J Surg Case Rep. 2022 May 27;2022(5):rjac238. doi: 10.1093/jscr/rjac238. eCollection 2022 May.
Giant focal nodular hyperplasia (GFNH) is rarely seen in children, presenting complex diagnostic and management considerations. Pathognomonic radiographic findings can be absent in this population, and the nuances of pathologic examination are critical. We present a child with a GFNH involving the right side of the liver arising in the background of hepatic steatosis. The details of the diagnosis and therapeutic decisions involved in his treatment are discussed.
巨大局灶性结节性增生(GFNH)在儿童中罕见,存在复杂的诊断和管理考量。该人群可能缺乏典型的影像学表现,病理检查的细微差别至关重要。我们报告一例患有GFNH的儿童,病变累及肝脏右侧,且发生于肝脂肪变性背景下。文中讨论了其诊断细节及治疗过程中的治疗决策。