Focal nodular hyperplasia and hepatic regenerating nodules in pediatric oncology patients: how much invasive approach is necessary?



Título del documento: Focal nodular hyperplasia and hepatic regenerating nodules in pediatric oncology patients: how much invasive approach is necessary?
Revista: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000416667
ISSN: 1665-2681
Autores: 1
2
2
1
1
Instituciones: 1Ospedale Bambino Gesu, Dipartimento di Hematologia, Roma, Lazio. Italia
2Ospedale Bambino Gesu, Dipartamento di Radiologia, Roma, Lazio. Italia
Año:
Periodo: Mar-Abr
Volumen: 12
Número: 2
Paginación: 308-314
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés Hepatic regenerating nodules (HRN) and focal nodular hyperplasia (FNH) are benign regenerating lesions of the liver that rarely occur in children. An increased incidence of these lesions is reported in children treated for cancer. Material and methods. Eight children who developed FNH and HRN after treatment for malignancies in the Oncology unit at the “Bambino Gesù” Pediatric Hospital in Rome, were retrospectively analyzed. Results. The lesions, considered in the differential diagnosis with metastatic relapse of the primitive disease, have been monitored with US or other available imaging techniques. Evolution of the lesions was observed in only 1 patient three years after the initial diagnosis of FNH. Conclusion. Serial monitoring with imaging techniques is sufficient to rule out liver metastasis and to monitor the evolution of the lesions. Surgery is suggested only in the case of complications
Disciplinas: Medicina
Palabras clave: Gastroenterología,
Diagnóstico,
Oncología,
Hiperplasia nodular focal,
Hígado,
Niños,
Quimioterapia,
Regeneración hepática,
Seguimiento
Keyword: Gastroenterology,
Surgery,
Diagnosis,
Focal nodular hyperplasia,
Liver,
Children,
Chemotherapy,
Hepatic regeneration,
Follow up
Texto completo: Texto completo (Ver PDF)