An elderly man with progressive focal nodular hyperplasia

Clin J Gastroenterol. 2020 Jun;13(3):413-420. doi: 10.1007/s12328-019-01072-9. Epub 2019 Nov 25.

Abstract

Patients with focal nodular hyperplasia (FNH) develop benign hepatocellular nodules. FNH most frequently occurs in young women. There are no reports of the onset of FNH in elderly men. We report a case of FNH in an elderly man, whose nodules increased in number and size. The patient underwent surgery for carcinoma of the left renal pelvis at 69 years of age; no liver masses were noted on yearly follow-up contrast-enhanced computed tomography (CECT). Ten years later, CECT revealed a hepatic mass, and magnetic resonance imaging suggested FNH. The nodules increased in number and size in subsequent follow-up examinations.

Keywords: Elderly man; Focal nodular hyperplasia; Older age; Progressive type.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Disease Progression
  • Focal Nodular Hyperplasia / diagnosis*
  • Focal Nodular Hyperplasia / diagnostic imaging
  • Focal Nodular Hyperplasia / pathology
  • Humans
  • Liver / diagnostic imaging
  • Liver / pathology
  • Magnetic Resonance Imaging
  • Male
  • Tomography, X-Ray Computed