Diagnosis and treatment of hepatic hemangioma

  Hepatic hemangioma is a common disease with a 10-fold higher incidence in women than in men, and multiple foci in the liver are 10-fold higher than single ones. It is basically non-malignant, has a relatively large fibrous component within the tumor, and rarely ruptures spontaneously if not subjected to more intense trauma.  Diagnostically, only a dynamic enhanced CT (to be done in plain, arterial, venous, and delayed phases) is required, and the diagnostic rate can reach 100%.  In some cases, the hemangioma grows slowly with age. Growth is not a characteristic of malignancy, and treatment is still recommended for hemangiomas that have a tendency to grow, either by performing surgical resection or by surgeons who do not perform resection and do bundling. I personally do not recommend surgical procedures, but if the lesion is more than 4 cm in diameter or has a tendency to grow, interventional embolization can be performed.  For small hemangiomas or even some larger lesions without symptoms or clear growth, regular review can also be taken (under 50 years old can be reviewed once a year, over 50 years old should be reviewed once every six months, imaging ultrasound, enhanced CT, MRI are available), especially for patients over 50 years old with heavy heart burden, it is still helpful for patients to be treated actively.