So I had a CT of my chest on Monday for chest pains, in which included the upper part of my liver.
Small Hiatal Hernia and/or gastroesophageal reflux not excluded. At least 2 hepatic hypervascular foci noted measuring approximately 9mm in the left hepatic lobe near the dome, while the larger in the posterior right hepatic lobe is peripheral and somewhat wedge-shape measuring 1.7 x 1.5cm. May represent small adenomas in a patient of this age with other possibilities as transient hepatic attenuation defects an small focal nodular hyperplasia not excluded
I have been referred to a Surgical Oncologist which obviously is freaking me out, and now I'm having an MRI w/dye contrast of my liver tomorrow morning.
Extremely worried. Has anyone had this done and or have liver nodules like the ones mentioned above? Should I be as worried as I am?
If you look at the FNH/adenoma/haemangioma thread you will find lots of people who have gone through similar. We all have experienced different treatments- it's interesting that you have a hiatus hernia and possible reflux. I too was admitted for chest pains in 2008, and the CT scan that they performed in the first instance got a picture of my liver too- I have been diagnosed with hiatus hernia, oesophagitis, helicobacter pylori (which has been treated) and a 5cm focal nodular hyperplasia in R Lobe of liver. My theory is that the nodule/growth in liver expands in the chest/upper abdominal cavity and pushes other organs out of line- hence hiatus hernia, which causes the other gastric symptoms- consultant hepatologist doesn't agree I have had no surgery as they are fairly sure its an FNH - for adenoma the treatment tends to be different and surgery is usually performed because adenoma can change from benign to malignant. You don't mention whether you have been on the birth pill? there is strong evidence to show that growth of adenoma is linked to birth pill use- funny how they don't tell you that when you're prescribed it. There is at least one person on this site who stopped taking oral contraception and her adenomas completely disappeared.
Hope that helps
Yes, I have been on and off birth control pills since I was young and they did ask that. I have since gotten off them. My surgical Oncologist did an MRI this morning so I'm waiting on the results of it.
I got my results today:
There is an arterial enhancing lesion with lobulated margins, measuring 2.2cm. The lesion shows no convincing lipid content and normalizes to liver parenchyma on more delayed phase imaging, in keeping with a benign FNH. There is an additional small 4mm, enhancing focus within segment 4 B adjacent to the gallbladder fossa, likely representing a small FNH well.
Impression: 2.2cm arterial enhancing lesion within segment 7 of the liver, as demonstrated on the prior CT, shows imaging features in keeping with a benign FNH
So.... my question is why and how did I get these? Will I get more? I've also read where they could rupture if not removed. The bigger one doesn't sound very good with "Lobulated Margins"....
I don't meet with the surgical oncologist till next Friday so I'm dying to know what the treatment plan is. Anyone know????
Try not to worry too much about it- it sounds like they are fairly sure its FNH which is highly unlikely to rupture - according to articles I have read. FNH doesn't turn malignant either- so unless the growths are causing other problems like blocking hepatic artery or something else like that - I would suspect that the specialist may just watch and wait. I have had knowledge of my FNH for over two years now and the hepatologist recommends leaving it alone and just watching it with a yearly scan.
Having read some of the other people's experiences of surgery I think it is something best avoided if at all possible,
Let us know how you get on when you've seen the surgical oncologist
I think you can safely use the Mirena coil and ordinary coils too. the Mirena does have hormones in it but not the ones that cause hepatic growths. There seems to be some discrepancy between whether FNH is affected by oestrogen - more commonly they say its adenomas that are affected by the hormones so if yours is FNH it might still be okay to take BC. It will be a good question to put to the hepatologist and post back the answer as I am sure there are others who need the same answer. For me, I'm past that stage so don't need to worry on that front