Focal nodular hyperplasia associated with a giant hepatocellular adenoma: A case report and review of literature

Figure 1  Pre-operative patient’s supine and stand-up picture – no external signs of tumor.

Figure 2 Preoperative drawing – tumor and liver major vessels’ relationship (credits: Dr. Giulia Piazza). FNH: Focal nodular hyperplasia; HCA: Hepatocellular adenoma.

Figure 3 Ultrasonography with a sagittal view of focal nodular hyperplasia and hepatocellular adenoma. D1: Greater axis length. FNH: Focal nodular hyperplasia; HCA: Hepatocellular adenoma.

Figure 4  Computed tomography late portal phase, with a multiplanar reconstruction of focal nodular hyperplasia and hepatocellular adenoma.

Figure 5 Magnetic resonance imaging – T2 sequence. Orange arrow: Focal nodular hyperplasia; White arrow: Hepatocellular adenoma.

Figure 6 Anatomopathological pictures (top: fresh sample; bottom: formalin-fixed sample), sagittal section plane. Yellow arrow: Focal nodular hyperplasia; Green arrow: Hepatocellular adenoma; Orange arrow: Left liver (segment II).