请教坛内专家或有经验的朋友， Focal Nodular Hyperplasia in liver. 详情见内。

20 岁 female. 体检发现转氨酶高， 医生建议做B 超 发现 两个 mass。  医生又让做 MRI。 结果是 “focal nodular hyperplasia".  详细结果如下。医生要求6个月后复查。想知道这个病如何治疗？对孩子的健康生活有何影响？

匹兹堡大学医学中心讲的很清楚FNH是良性的.不过以后就诊一定要找肝专科医生看如果尺寸变大

还是要肝外科手术.找个肝内专科医生以后一直跟着他/她看,美国各专科培训区别很大,培训时长也不同.

匹兹堡大学排名虽后,但它的医学院排名挺好的.它家网站上的解释是可信的.

https://www.upmc.com/services/digestive-disorders-center/services/liver-diseases/conditions/liver-cancer/focal-nodular-hyperplasia#overview

FNH is a benign tumor, or lesion, that forms in the liver. These tumors are not cancer.

FNH is more common in women, mostly between the ages of 20 and 50.

It's the 2nd most common type of benign liver tumor (liver hemangiomas are the most common).

FNH affects between 0.6% and 3% of the general U.S. population. About 8% of all benign liver tumors that aren't hemangiomas are FNH.

Focal Nodular Hyperplasia (FNH) Treatment

FNH tumors do not become cancer. In most cases, doctors only treat FNH that causes symptoms.

Your liver doctor will want to see you every three to six months for follow-ups and imaging tests.

These appointments and scans are to make sure the tumor isn't growing.

Lifestyle changes to treat FNH

Doctors might suggest you stop taking birth control pills if you have FNH. If you keep taking them, your doctor might want you to have routine imaging tests to keep an eye on the tumor.

To support your liver's health, doctors might also urge that you:

Eat a healthy diet. Maintain a healthy weight. Exercise. Avoid alcohol.

Trans-arterial embolization (TACE) to treat FNH

If your tumor gets larger than the typical 4 to 8 centimeters , doctors may use TACE to shrink it.

During TACE, specialists will inject medicine into the hepatic artery to block blood flow and prevent the mass from growing.

Surgery to treat focal nodular hyperplasia

If the FNH is large, surgeons may remove the tumor.

In partial hepatectomy surgery, or resection, surgeons extract the tumor and a small part of the tissue around it.

 

 

 

 

http://www.lingnanwaike.com/CN/10.3969/j.issn.1009-976X.2022.06.014

点里面的PDF看.

非常感谢您的详细而又全面的解释！！！受益非浅！再问您一个问题。听说中国治疗肝病方面比美国好。 有必要去中国看病吗？

不需要.乙肝疫苗和抗病毒是老美研发出来的挽救了大批年轻人.

国内现在肝手术看上去都是用消融.

其实大部分肝癌早期传统手术比消融好.对癌症病人手术长短不是关键,关键是5年存活率.但没有比较统计数据

https://www.sohu.com/a/384999334_620616

谢谢回复！！！ 言之有理！

您的建议很好！ 我要给孩子找一个肝内专科医生。

美国医生有guidelines, 估计建议观察，如果一直长，超过一定size 会建议手术，否则可能do nothing

如果在中国，除了少数最好医院会这么告诉你观察随访，大部分医院/医生会建议你手术切除，正好给他们练练手

26岁以下在美国可跟家长医保.孩子情况符合看专科,也需让经常接触病人的专科医生再读一下MRI.

这个信息很重要， 非常感谢！！！

哦！ 是这样！ 那还是在美国治疗比较好。

你这么确定？

亲戚径历过，还是三甲呢……

如果没有特殊关系网，就在美国治疗

中国医疗条件不差，但关系很重要。