What kind of liver hemangioma requires surgery?

  Hepatic hemangioma is a relatively common benign tumor of the liver, most commonly known as cavernous hemangioma. There is no evidence that it has the possibility of malignant transformation. So, what are the indications for surgery of hepatic hemangioma?       The following are the indications for surgery of hepatic hemangioma: 1.Newly discovered “hepatic hemangioma” but difficult to distinguish from other hepatic occupying lesions, especially those with positive hepatitis virus indicators or a history of chronic liver disease.  2.Hepatic hemangioma with clinical manifestations, such as abdominal pain, adjacent organ compression, kasabach-Merritt (abnormal platelet consumption) syndrome.  3.Hemangioma with significant growth rate.  4.Age: Be cautious in surgery for patients over 60 years old, and do not operate without obvious symptoms.  5.Tumor size: <5cm generally do not need surgery, regular follow-up; 5-10cm should follow the above indications to decide; >10cm generally need surgery to remove.  6.Hemangioma occurring in the periphery of the liver, growing with a tip, and complicated and dangerous parts should be operated relatively actively.  7.Large hepatic hemangioma in young women: hepatic hemangioma has the characteristics of accelerated growth during pregnancy and the risk of rupture and hemorrhage during delivery.  8.Special occupations: For those who are engaged in strenuous sports or enthusiasts, such as boxing, soccer, etc., huge hepatic hemangioma that may cause liver trauma can be considered for surgical removal.