Focal Nodular Hyperplasia

[summerluvr]

This benign liver lesion was found incidently when I was undergoing other tests (CT for blood clot in chest).  I have multiple myeloma so this FNH was found during my diagnosis and staging for MM.

Its been about 4 years now. I get pain in the liver area, when I am sleeping on my right side, but other then that no issues. I also had a factured rib on that side at diagnosis so I'm not sure if maybe that is what I feel?

My MM is in remission and stable for last 3 years.

I am curious if I should do any follow up for the FNH?  I had a CT scan with contrast which confirmed the FNH after it was noticed on other imaging, but that was it.

[John Irlam, DO, FASCP]

Good deal, glad to hear that you're such a good communicator with everyone on your healthcare team.  Please let me know how everything is going!

[summerluvr]

Thanks for explaining a little about what FNH is.  one less thing to worry about! My rib fracture was found at diagnosis, It iwas more a lytic fracture and I did two years of bone building IV meds so I think it went away. I do feel pain in old areas where I was known to have lytic lesions, and I understand this is normal even if MM is not active.

I am in a watchful waiting phase (complete response from my stem cell transplant)  but any little thing is investigated.  thanks for your concern I let my doctors know about knew pains.

[John Irlam, DO, FASCP]

Hi there,
Thank you for the question.  I'm happy to hear that your MM is stable, that's wonderful news.  FNH is generally accepted to be a regenerative response due to a lack of perfusion of blood to the affected area of the liver.  This is a benign finding and not cancer.  With your history of MM I personally would get any new pain checked out though, especially if there is a chance that it may be skeletal in nature.  When was the rib fracture?  Are your doctors aware of the pain?  I hope this information helps.
Best,
John