匹兹堡大学医学中心讲的很清楚FNH是良性的.不过以后就诊一定要找肝专科医生看如果尺寸变大

来源: 5181 2023-05-21 16:55:57 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (3197 bytes)

还是要肝外科手术.找个肝内专科医生以后一直跟着他/她看,美国各专科培训区别很大,培训时长也不同.

匹兹堡大学排名虽后,但它的医学院排名挺好的.它家网站上的解释是可信的.

https://www.upmc.com/services/digestive-disorders-center/services/liver-diseases/conditions/liver-cancer/focal-nodular-hyperplasia#overview

FNH is a benign tumor, or lesion, that forms in the liver. These tumors are not cancer.

FNH is more common in women, mostly between the ages of 20 and 50.

It's the 2nd most common type of benign liver tumor (liver hemangiomas are the most common).

FNH affects between 0.6% and 3% of the general U.S. population. About 8% of all benign liver tumors that aren't hemangiomas are FNH.

Focal Nodular Hyperplasia (FNH) Treatment

FNH tumors do not become cancer. In most cases, doctors only treat FNH that causes symptoms.

Your liver doctor will want to see you every three to six months for follow-ups and imaging tests.

These appointments and scans are to make sure the tumor isn't growing.

Lifestyle changes to treat FNH

Doctors might suggest you stop taking birth control pills if you have FNH. If you keep taking them, your doctor might want you to have routine imaging tests to keep an eye on the tumor.

To support your liver's health, doctors might also urge that you:

  • Eat a healthy diet.
  • Maintain a healthy weight.
  • Exercise.
  • Avoid alcohol.

Trans-arterial embolization (TACE) to treat FNH

If your tumor gets larger than the typical 4 to 8 centimeters , doctors may use TACE to shrink it.

During TACE, specialists will inject medicine into the hepatic artery to block blood flow and prevent the mass from growing.

Surgery to treat focal nodular hyperplasia

If the FNH is large, surgeons may remove the tumor.

In partial hepatectomy surgery, or resection, surgeons extract the tumor and a small part of the tissue around it.

 

 

 

 

http://www.lingnanwaike.com/CN/10.3969/j.issn.1009-976X.2022.06.014

点里面的PDF看.

所有跟帖: 

非常感谢您的详细而又全面的解释!!!受益非浅!再问您一个问题。听说中国治疗肝病方面比美国好。 有必要去中国看病吗? -Changbai80- 给 Changbai80 发送悄悄话 (0 bytes) () 05/21/2023 postreply 17:06:32

不需要.乙肝疫苗和抗病毒是老美研发出来的挽救了大批年轻人. -5181- 给 5181 发送悄悄话 (312 bytes) () 05/21/2023 postreply 17:22:33

谢谢回复!!! 言之有理! -Changbai80- 给 Changbai80 发送悄悄话 (0 bytes) () 05/21/2023 postreply 17:50:06

您的建议很好! 我要给孩子找一个肝内专科医生。 -Changbai80- 给 Changbai80 发送悄悄话 (0 bytes) () 05/21/2023 postreply 17:56:07

26岁以下在美国可跟家长医保.孩子情况符合看专科,也需让经常接触病人的专科医生再读一下MRI. -5181- 给 5181 发送悄悄话 (0 bytes) () 05/21/2023 postreply 18:46:46

这个信息很重要, 非常感谢!!! -Changbai80- 给 Changbai80 发送悄悄话 (0 bytes) () 05/21/2023 postreply 19:33:38

美国医生有guidelines, -Nebrasky- 给 Nebrasky 发送悄悄话 (0 bytes) () 05/21/2023 postreply 18:37:30

如果在中国 -Nebrasky- 给 Nebrasky 发送悄悄话 (0 bytes) () 05/21/2023 postreply 18:43:02

哦! 是这样! 那还是在美国治疗比较好。 -Changbai80- 给 Changbai80 发送悄悄话 (0 bytes) () 05/21/2023 postreply 19:36:45

你这么确定? -Tiger666- 给 Tiger666 发送悄悄话 (0 bytes) () 05/22/2023 postreply 02:40:43

亲戚径历过,还是三甲呢…… -Nebrasky- 给 Nebrasky 发送悄悄话 (0 bytes) () 05/22/2023 postreply 03:48:09

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