1.Hepatic hemangioma needs to be treated surgically? First of all, we need to understand the harm situation of hepatic hemangioma. The harm of hepatic hemangioma mainly depends on whether there are clinical symptoms and its growth rate, location and size. Generally speaking, Wang Baotai of the Department of Geriatric Hepatobiliary Surgery of the Second Affiliated Hospital of Xi’an Jiaotong University Medical College curbs the healthy function of the liver and weakens the innate basis of healthy liver generation. As hepatic hemangioma attaches to the liver, with its gradual growth, the area expands and the blood lake increases. The sludge hardens and blood thickens, causing gradual abnormalities in liver function. Secondly, hepatic hemangioma impairs the metabolism of the liver. The liver is the most active metabolic organ in the body and is involved in the metabolic process of almost all substances in the body, which is very important to maintain life. Once the metabolic function of liver is disturbed, the whole body will be greatly affected. The metabolic role of liver is manifested in four aspects: First, glucose metabolism, which stabilizes blood sugar concentration and provides sugar needed by the whole body. The second is lipid metabolism, the liver secretes bile, which is conducive to such digestion and absorption, and many kinds of lipoprotein output synthesized by the liver, and the synthetic content of cholesterol reflects the strength of liver function. Third, protein metabolism, adults synthesize about 98 grams of protein per day, 40% of which is synthesized in the liver, and complete the task of protein analysis. Fourth, vitamin and hormone metabolism, the liver is the site of storage of many vitamins and inactivation of hormone organs, such as sex hormones. The increasing size of hepatic hemangioma tumor compresses the surrounding capillary dilation and venous hemangioma malformation, making the liver enlarge or thicken to squeeze the chest cavity. It is very easy to cause a unilateral malfunction of various metabolic functions of the liver, which leads to a poverty or excess of metabolism of certain substances needed by the body and disrupts the balance of liver metabolism. However, small hemangiomas located at the edge can be left out of surgery because they affect the liver less, while larger ones (usually thought to be more than 6cm, and some set the standard at 10cm) can be treated by various interventions, most often by applying surgery. 2.Can hepatic hemangioma become cancerous? The incidence rate of hepatic hemangioma in normal population is 0.5%~7%. Most patients lack understanding of hepatic hemangioma and think that hemangioma is also a tumor of the liver and worry that it will become cancerous. In fact, hemangioma is not cancerous. However, it is true that many patients are first diagnosed with hepatic hemangioma and later found to be significantly enlarged and further diagnosed as malignant tumor. However, this is not a case of hemangioma becoming cancerous, but a small number of liver cancers or other malignant tumors that appear similar to hemangioma on imaging and are misdiagnosed as hemangioma. Therefore, it is important to be cautious when diagnosing hemangiomas, and especially small hemangiomas need to be differentiated from liver cancer. In general, it is not enough to diagnose hemangioma by ultrasound alone, but other imaging examinations and blood analysis are also needed. 3.Does hepatic hemangioma need treatment? Most hepatic hemangiomas are asymptomatic and will not increase significantly with long-term prevention, nor will they become cancerous or produce complications, so no treatment is needed. If there are obvious symptoms such as huge hemangioma pressing on the stomach, intestines and other adjacent organs, causing upper abdominal discomfort, bloating, belching, abdominal pain, loss of appetite, nausea and other symptoms, and it is clinically confirmed that these symptoms are caused by hemangioma, then surgery may be considered. A few hemangiomas may be complicated by coagulation dysfunction, such as depletion of clotting factors and platelets, in which case surgical removal is required. There are also patients whose diagnosis of hemangioma is not certain and cannot exclude other malignant tumors that require surgical resection.