Ultrasound Diagnosis 1: Hepatic hemangioma Is this a malignant tumor? We all think that hepatic hemangioma is very scary, and we have to blame the word “tumor” in hepatic hemangioma. There are also two rumors about hepatic hemangioma, one is that it can become cancerous. The second is that hepatic hemangiomas can rupture and bleed, which is life-threatening. Is this sensationalism true? It is clearly documented that there have only been about 40 cases of spontaneous rupture of hepatic hemangiomas worldwide. A spontaneous rupture is a rupture without any cause. In layman’s terms, it is less likely than winning the $5 million jackpot. So when you see the diagnosis of hepatic hemangioma on the medical report, you should not be alarmed, as hepatic hemangioma is a benign disease. Is there any treatment for hepatic hemangioma? Since it is a benign tumor, do all hepatic hemangiomas need no treatment? Professor Guangming Li says that treatment depends on whether your hepatic hemangioma is currently symptomatic or not. Hepatic hemangioma without symptoms can be observed regularly and will not threaten your health, so surgery is not necessary. So what kind of symptoms require surgical treatment? What kind of symptoms would be caused by hepatic hemangioma? The stomach is like a pocket, the volume inside is limited, if the hepatic hemangioma inside grows, it will compress the surrounding tissues and organs. If the hepatic hemangioma grows in the left abdomen, it will press on the stomach, and eating will make the stomach bloated and very uncomfortable. If the hepatic hemangioma grows in the right abdomen, it will press on the intestines and cause constipation and bowel problems. How big is a hepatic hemangioma before it has symptoms? When a hepatic hemangioma reaches 10 centimeters, the patient will experience symptoms. So if you have a 3 cm hemangioma on your liver and you feel bloated, you are 100% sure that it is not related to hepatic hemangioma but is caused by other diseases. There is also a possibility that the hemangioma has reached 10 centimeters, but there are no symptoms. In this case, we can also suspend the surgery and continue to observe. It is easy to see that even for hepatic hemangiomas that have grown to 10 centimeters and require surgery, the surgery is only to improve the quality of life, not to save it. Ultrasound Diagnosis 2: Hepatic angiosarcoma Although hepatic angiosarcoma is only one word away from hepatic hemangioma, hepatic angiosarcoma is a malignant tumor and progresses rapidly. World medicine has so far failed to find the cause of this disease. The scary thing is that the latency period of hepatic hemangiosarcoma is usually more than 10 years. Without a physical examination of the liver, it is simply undetectable. If you see the word hepatic hemangiosarcoma on the physical examination report, please pay great attention to it and go to the general surgery or hepatobiliary surgery department of the hospital for further examination as soon as possible. Ultrasound Diagnosis 3: Liver Cyst Whether it is ovarian cyst or liver cyst, as long as there is the word “cyst” on the physical examination report, people will often unconsciously think that it is cancer. Professor Li Guangming said that liver cysts and hepatic hemangioma just mentioned are benign diseases. In terms of treatment, they are the same as hepatic hemangioma, both need to be treated only when the cyst reaches 10 centimeters or more and symptoms such as bloated stomach and poor bowel movement appear. There is a big misunderstanding about the treatment of liver cysts. Since liver cysts larger than 10 centimeters and with symptoms require surgery. Surgery requires surgery, so some patients are afraid of it. I heard that there is a method called “puncture treatment”, which can directly suck out the fluid from the liver cyst to reduce the swelling and solve the problem that would otherwise require surgery. This method is a fool’s errand. Let’s talk about how this liver cyst comes about. The liver cyst is a congenital disease that is caused by a malformation of the bile ducts in the liver. The normal bile ducts should be connected at both ends, but this part of the bile ducts are closed at both ends. Then the fluid is produced and cannot be drained, so naturally a cyst will bulge up. So, liver cyst is like a mole on our body, there are too many people with moles, but not a mole needs to be cut off. This puncture solution can only solve the problem temporarily, and the cyst will continue to appear after a few days. This puncture treatment method is actually a way to treat patients who come with polycystic liver. A polycystic liver is one in which the entire liver is full of cysts, 10, 8 or even thousands of them. If you want to treat such a liver, you have to cut out the whole liver, but if you cut out the whole liver, you won’t be able to live. Therefore, polycystic liver cannot be treated by surgery. But with so many cysts, if the fluid is not extracted, patients will feel very bloated and their quality of life will be seriously affected. That’s why this puncture treatment method was created.