Gastroenterology Book

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Hepatic Focal Nodular Hyperplasia

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  1. Pathophysiology
    1. Differs from Hepatic Adenoma
      1. Not caused by Oral Contraceptives
    2. Does however enlarge and vascularize with Estrogen
  2. Symptoms
    1. Usually asymptomatic
  3. Complications
    1. Rarely causes liver bleeding or rupture
  4. Management
    1. None usually indicated
    2. Surgical resection indications
      1. Exclude malignancy
        1. Hepatic Adenoma
        2. Hepatocellular Carcinoma
      2. Hemorrhagic complications

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