When focal nodular hyperplasia (FNH) has been confidently established through imaging and the patient has no symptoms — in particular, no abdominal pain — a specific, evidence-based course of action applies. Getting this decision right matters: the appropriate next step differs meaningfully from other hepatic lesion scenarios.
Clinical scenario: Focal nodular hyperplasia confirmed on imaging; absence of symptoms such as abdominal pain.
In this setting, current evidence supports a conservative management approach. The full structured protocol specifies exactly what that entails for this scenario, including the recommended course of action regarding further evaluation and follow-up.
DOI: 10.14309/ajg.0000000000002857
Once the diagnosis of FNH is confidently made, a conservative approach with no further follow-up is recommended.
In a patient with an FNH confirmed on imaging, no further follow-up is required.
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