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Conditions/Liver Disease/Chapter

Detailed chapter

Liver Disease — FNH and Hepatocellular Adenoma

Benign solid liver lesions

Focal nodular hyperplasia (FNH) and hepatocellular adenoma are benign solid lesions—distinct from hemangioma. MR often separates them. FNH is usually observed. Adenoma size, subtype, bleeding risk, and (rarely) malignant potential guide follow-up or surgery—especially with hormone exposure in women.

FNH and adenoma · educational illustration · English labels below

Key points

  • FNH
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    Central scar pattern on MR is classic. Asymptomatic lesions are usually watched; large symptomatic ones may discuss resection.

  • Adenoma
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    Risk rises with size, growth, androgen exposure, and certain subtypes. Bleeding or malignant transformation is rare but real—plan is individualized.

  • Why classification matters
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    Benign does not mean ignore. Wrong label leads to wrong treatment—especially confusing adenoma with hemangioma.

  • Who needs closer follow-up?
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    Men, large lesions, beta-catenin–activated subtypes, or pregnancy plans may shift toward resection regardless of size.

This page is for education. It is not medical advice and does not replace a visit with your physician.

Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · Last medically reviewed: August 2026 · English patient-education chapter.