A friend found “hepatic hemangioma” on ultrasound, which scared him. Although he heard the doctor explain that it is benign, he needs to be reviewed, so he is still worried whether it will become a tumor. We would like to introduce the disease of hepatic hemangioma here. Hemangioma is a vascular malformation that can occur in any part of the body. Most hepatic hemangiomas are spongy hemangiomas, which are the most common benign tumors of the liver and can occur at any age. Hepatic hemangiomas are congenital disorders, but most of them develop very slowly and small hemangiomas can be asymptomatic, so most of them are detected by our ultrasound during physical examination. So don’t be too nervous when you find this hemangioma in your abdomen, it has actually been in your body for decades, we just don’t know it exists, but it needs to be reviewed whether it has grown especially fast recently? So correct understanding can avoid unnecessary panic. After the discovery of hepatic hemangioma, you should “live in peace” with it, but you should have regular checkups. After the discovery of hepatic hemangioma, many people will ask, is there any medicine to control its growth? I am sorry to say that there are no medications that can eliminate and control its growth. It is important to understand that liver hemangioma is a benign disease and most of them do not require treatment. Only larger hepatic hemangiomas (5cm or more) require surgical or interventional treatment. If liver hemangioma is found for the first time, after the diagnosis is confirmed, and it does not become bigger after 3 months, then it can be reviewed once a year. Medically, there are two types of hepatic hemangiomas: the growing type and the non-growing type. More than 95% of hepatic hemangiomas are of the non-growing type. Small, asymptomatic hepatic hemangiomas are generally considered to be “peaceful” for a long time without surgical treatment. Occasionally, hepatic hemangiomas have no obvious symptoms, but large hemangiomas (greater than 5 cm in diameter) may rupture or cause compression of surrounding tissues and organs. Giant hemangiomas can rupture on their own, resulting in life-threatening abdominal hemorrhage. If it compresses the portal venous system, splenomegaly and ascites may occur; if it compresses the stomach and duodenum, gastrointestinal symptoms may occur. Individual patients with huge hemangiomas accompanied by arteriovenous fistula formation may have increased return blood volume, leading to heart failure. However, these are relatively rare. In a few young adults, hepatic hemangioma may grow suddenly and symptoms may follow. When it compresses the surrounding organs, epigastric discomfort, abdominal distension and abdominal pain may occur. Hepatic hemangioma can rupture and bleed when it is hit by external force; other huge hemangioma can rupture by itself and abdominal hemorrhage can occur, which needs to be checked every 3 months to 6 months. Hepatic hemangioma found by ultrasound needs further examination to confirm the diagnosis. Hepatic hemangioma larger than 2cm can be found by ultrasound examination, but it needs to be combined with other examinations to determine whether the “tumor” found is hepatic hemangioma. In addition, it is better to check fetoprotein again, so as not to miss the more dangerous enemy – early stage liver cancer. In the following cases, it is still necessary to deal with them: 1. Large hemangioma. Generally speaking, hemangioma with a diameter of more than 5 cm is considered as large hemangioma, which is indicated for surgical resection. 2. Those who cannot exclude malignant tumors. Although most hemangiomas are typical, it is true that some are not. Some of them are accompanied by elevated AFP and some are accompanied by cirrhosis. For such atypical cases, especially those who cannot exclude malignant tumor, “observation” is not the best policy, and surgical resection should be chosen decisively if necessary. The traditional treatment of hepatic hemangioma is mainly surgical, but in difficult cases with large lesions and locations close to large blood vessels, surgery is extremely difficult and can be very traumatic for the patient. Nowadays, vascular intervention can be used: a small incision of about 2 mm is made in the skin of the thigh, a fine catheter system is inserted into the hepatic hemangioma by technical means, and the corresponding embolic drugs are injected through the catheter to fill up the lesion vessels and slowly destroy them. The patient’s symptoms will be reduced and disappeared.