Hemangiomas are the most common solid benign tumors of the liver and may be associated with hemangiomas of other organs. The diagnosis is most often rendered through the use CT and MRI. They can range from small (≤1 cm) to giant hemangiomas (10 to 25 cm). The most common symptom is pain, which often occurs with lesions larger than 5 to 6 cm. Most patients with hemangiomas should be managed nonoperatively. Spontaneous rupture (bleeding) is rare, and the main indication for operative treatment (resection) is pain.
Its the commonest benign tu of liver.usually diavnosed accedentally.if causes no pain there is no indecation to treat it
These are benign arterio-venous malformations in liver, in this case. Yea, Ultrasound can be a useful non invasive tests. The alternative is hepato angiography. advantage of hepatoangiography is that the hemangioma can be embolized with fibrin simultaneously by an intervention radiologist.
Can be diag with U/S very well,in all small lesions, but larger ones require a good CT with angio reconstruction.Intra hepatic Giant Haemangiomas can have dragging pain rarely haemorrage but extra hepatic Giant Haemangiomas are vulnerable for Trauma.I donot have any experience with fibrin glue embolisation but resected both intra and extra hepatic Haemangioma.
Exist diagnostic triad: ultrasound, CT scan and MRI.
Dependent from size of haemangiomas, and therapy is recomended.
In the extrem big size of or multiple haemangiomas, options must be liver transplant surgery and Rx therapy.
This is a common finding in asymptomatic people. It is not necessary to remove then , with the only exception of large and complicated lesions. Only periodic eco follow-up is recommended in the great majority of cases
Generally no dangerous, but dependent from size and damaged of liver function.
In very rare situations, a liver transplant may be required. During this procedure, damaged liver is replaced with a donor’s liver. This is only necessary if the hemangioma is extremely large or if multiple hemangiomas don’t respond to other treatments.
Best regards from Prishtina, Rep. of Kosova
It is clear that in an incidental finding in an asymptomatic patient is better to wait and see only
Fully agree with Dr. Luis. If this is an incidental finding, best to leave it alone. If symptomatic, or a large hemangioma, then we consider the treatment options enumerated by me earlier.
Do not have a drug or food recommendation to prevent the enlarging from size hemangiomas?
Medications are mainly based on immnuosuppression by steroids or even Vincristin and other drugs
B-Blockers may also be used
Some studies with ketogenic diet are conducted
Ther is nothing to do with this asymptomatic finding. To wait and control yearly with echo images is a common practice
- Badges
- Science topic
- Similar topics
- Medicine
- Disease
- Infectious Diseases