Most hepatic hemangiomas are cavernous hemangiomas, which are benign tumors. Some patients can show clinical symptoms such as loss of appetite, abdominal distension, poor appetite, abdominal mass, and feeling of fullness after meals, but most patients are found during physical examination, and there are still no drugs found to be effective for hepatic hemangiomas. Ultrasound, CT or MR enhancement scan, nuclear scan and hepatic arteriography can make a definite diagnosis. The condition is more common in middle-aged women, and the incidence is six times higher in women than in men.
I. Treatment principles of hepatic hemangioma.
1.If the maximum diameter of the tumor is less than 5cm, the patient can not feel it without treatment, and it can be reviewed by ultrasound follow-up every six months to one year.
2.If the tumor is more than 5cm, or there is distension and discomfort in the liver area, or the tumor grows rapidly within a short period of time, and there is a risk of rupture and bleeding near the edge of the liver by impact, active treatment should be given.
Treatment of hepatic hemangioma.
1.Surgical resection, the advantage is complete treatment, the disadvantage is traumatic, high cost and long hospital stay.
2.Interventional treatment – transvascular interventional embolization, tumor drug injection, physical ablation, etc. These techniques are minimally invasive and efficient, and outpatient treatment or hospitalization can be done in 2-3 days. Interventional treatment can completely control the tumor, shrink, not grow, no symptom is good, and complete removal is usually unnecessary.
Third, the possible complications of hepatic hemangioma are
1.Rupture of hepatic hemangioma may cause symptoms of acute abdomen or internal bleeding.
2. Thrombocytopenia and hypofibrinogenemia, which are often caused by disorders of coagulation mechanism in a few patients.
3.Liver enlargement, hemangioma will cause liver enlargement when it grows up.
4.Hepatic cysts, about 10% of patients can be complicated by liver cysts.
IV. Follow-up arrangement for patients with hepatic hemangioma.
Ultrasound review after 1 month, there should be no change in hemangioma.
A second ultrasound review after 3 months, and the hemangioma should still be unchanged
Subsequent ultrasound review in 3 to 6 months.
V. Dietary considerations for patients with hepatic hemangioma.
Diet should be light and rich in nutrients as appropriate, with more vitamin and magnesium-rich foods, avoiding greasy and thick, spicy and stimulating foods, such as chili, seafood, barbecue, strong wine and spicy fried foods, etc., and eating less febrile foods such as beef, mutton, pork and dog meat, etc.
The diet should include more vegetables and fruits to keep the ambassador open and prevent constipation, because frequent constipation can aggravate the symptoms of abdominal distension and belching, and forceful defecation in severe constipation can risk the rupture of huge tumor. In addition, external collision, strenuous physical exercise or strong physical labor should be avoided to avoid increasing abdominal pressure and causing rupture and bleeding of tumor.
You should not eat too much, and it is better to be seven or eight percent full. Usually, you should pay attention to keep your mood relaxed, avoid being angry and furious, do not have too heavy psychological burden, and do some low-intensity exercises to strengthen your resistance.