What treatments are available for hepatic hemangioma?

  The incidence of hepatic hemangioma is quite high, and according to conservative estimates from medical examination institutions, the incidence is about 10% for people over 40 years old. Most patients do not have symptoms in the early stage, and are mostly found through medical examinations with ultrasound, CT, and MRI. Since imaging is not a pathological examination, the diagnosis is somewhat ambiguous, for example, the imaging report is more likely to be a hemangioma than a definite one, and medical statistics also show that out of every 100 patients diagnosed by imaging, 5 are finally diagnosed as liver cancer. As for why pathology is not done, it is because pathological examination often requires surgery, which has certain difficulties. Therefore being in the prime of life and suddenly finding something growing on the liver can cause great psychological burden and panic to the patient.  So, what treatment methods are available for hemangioma and do they need to be treated or not?  1.Surgery can be considered for tumors over 10 centimeters with rapid growth and symptoms such as swelling, pain and stuffiness.  2.Radiation intervention refers to the embolization of hepatic hemangioma under X-ray guidance via femoral artery vascular, which is sometimes ineffective because the liver is double supplied by hepatic artery and portal vein.  3.Ultrasound intervention refers to the direct intervention of various physical, drug and biological treatments into hepatic hemangioma under ultrasound guidance. These methods are non-invasive, almost risk-free, with real and rapid effects, and are suitable for hepatic hemangioma of various sizes, especially for those patients in the observation period, with rapid growth, obvious symptoms and excessive psychological burden.  Therefore, the need for treatment depends on two aspects: 1. whether the treatment method is easy, safe, effective and rapid.  2, the patient’s tumor’s fast or slow growth, the severity of symptoms, and the psychological burden. In the past, it was said that less than 4cm need not be treated, which is relative to surgery. If it is not surgery, it may not need to be observed, or it is better to remove it early.