On the front of the preparation can we see a well-circumscribed brownish lesion. The lesion has a central scar.
On the back of the preparation can we see a poorly circumscribed greyish lesion.
Diagnosis: Front: Focal nodular hyperplasia. Back: Liver metastasis
- Focal nodular hyperplasia:
- Oral contraceptive use
This preparation contains two different, unrelated lesions. On the front is the lesion of a focal nodular hyperplasia (FNH). FNH is the second most prevalent benign tumor of the liver. It has no malignant potential and is normally asymptomatic, so it’s usually not treated. FNH produces a lesion with a characteristic star-shaped scar in the centre.
The second lesion is on the back and is a liver metastasis.
13. Macronodular (postnecrotic) cirrhosis
15. Hepatocellular carcinoma