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Old 09-13-2005, 10:32 AM   #5
amykcpa amykcpa is offline
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Re: Need help understanding my MRI

Ok -- from what you say it looks like the radiologist thinks it is an adenoma even though it lacks some features that an adenoma might normally have such as a pseudo capsule and it's mri enhancement pattern is not exactly what was expected either.

The problem is that the appearance of an adenoma or fnh can vary widely on imaging studies.

Sometimes tumors in the left lobe of the liver are too dangerous to biopsy. However, you might want to see if you qualify for a biopsy. I did qualify and overall I was very happy I had it done. The biopsy might not give you the absolute definitive answer you are hoping for but it will help narrow the arena for you.

I would definitely consider seeking out a second opinion from a hepatologist or a liver transplant surgeon. My internist referred me to a specialist right away. The liver specialists see these types of tumors all the time. Your general practitioner probably doesn't see too terribly many of them. Based on my research they really are pretty rare -- it's just not an everyday thing.

The surgery to remove these tumors is really major -- you can read about several who have had the surgery on the fnh thread.

It is often recommended that adenomas be surgically removed since they can rupture and have a slight risk of malignant transformation after many years. Although some doctors recommend leaving an adenoma alone as long as it is less than 5cm. The treatement of this type of tumor VARIES WIDELY.

I do recommend that you continue to do research on the internet and read the fnh thread and hepatic adenoma threads here. There is a lot of good information -- many of the women were treated by highly respected specialists and you will have the opportunity to read about the advice that they were given. Obviously each situation is unique but you can at least get some idea of the treatment options that you might want to consider for yourself.

Fnh tumors are usually left in place unless they are very large, causing pain or continuing to increase in size.