title: [Multiple hepatic focal nodular hyperplasia: its presentation in childhood and atypical evolution].
abstract: Multiple focal nodular hyperplasia is an uncommon benign liver tumor although its incidence has been increasing in the last few years. A case of focal nodular hyperplasia in a young woman is described, which was discovered in infancy and which presented two nodules in each lobe. The diagnosis was subsequently confirmed by large surgical biopsy. Conservative therapy was given for 16 years during which time there was progressive tumor growth, increase of pain and cholestatic enzymes. The unusual presentation this benign lesion may have, a strategy for its diagnosis and the generally conservative management that is currently favored are discussed.
authors.affiliation: Sección de Aparato Digestivo, Hospital de León.
authors.forename: S
authors.initials: S
authors.lastname: Vivas Alegre
authors.forename: F
authors.initials: F
authors.lastname: Jorquera Plaza
authors.forename: F
authors.initials: F
authors.lastname: Muñoz Núñez
authors.forename: A
authors.initials: A
authors.lastname: Herrera Abián
authors.forename: J
authors.initials: J
authors.lastname: Espinel Díez
authors.forename: M J
authors.initials: MJ
authors.lastname: Fernández Gundín
authors.forename: R
authors.initials: R
authors.lastname: Tascón Pérez
authors.forename: J L
authors.initials: JL
authors.lastname: Olcoz Goñi
mesh_terms: D000328:Adult; D001706:Biopsy; D002908:Chronic Disease; D005260:Female; D020518:Focal Nodular Hyperplasia / Q000175:diagnosis*; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed