RT Journal Article SR Electronic T1 Focal nodular hyperplasia with major sinusoidal dilatation: a misleading entity JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr0920103311 DO 10.1136/bcr.09.2010.3311 VO 2010 A1 Hervé Laumonier A1 Nora Frulio A1 Christophe Laurent A1 Charles Balabaud A1 Jessica Zucman-Rossi A1 Paulette Bioulac-Sage YR 2010 UL http://casereports.bmj.com/content/2010/bcr.09.2010.3311.abstract AB Focal nodular hyperplasia (FNH) is a benign liver lesion thought to be a non-specific response to locally increased blood flow. Although the diagnosis of FNH and hepatocellular adenoma (HCA) has made great progress over the last few years using modern imaging techniques, there are still in daily practice some difficulties concerning some atypical nodules. Here, the authors report the case of a 47-year-old woman with a single liver lesion thought to be, by imaging, an inflammatory HCA with major sinusoidal congestion. This nodule was revealed to be, at the microscopical level and after specific immunostaining and molecular analysis, an FNH with sinusoidal dilatation (so-called telangiectatic focal nodular hyperplasia).