Hepatic hemangiomas are more difficult to distinguish from early stage liver malignancies. Most hepatic hemangiomas are cavernous hemangiomas, which are common benign tumors of the liver and do not require treatment. However, regular follow-up is required. Larger hemangiomas with obvious clinical symptoms, especially those located at the edge of the liver which are more likely to rupture and bleed, should be surgically resected. Small hepatocellular carcinomas are malignant tumors that can gradually become larger. However, it is difficult to distinguish early small hepatocellular carcinoma from small hepatic hemangioma. Early small hepatocellular carcinoma sometimes has no obvious features on imaging and sometimes has no obvious symptoms. Sometimes puncture biopsy or dissection is needed to confirm the diagnosis. When abnormalities are found in the liver during imaging tests, it is important to have regular follow-ups or further examinations according to the doctor’s requirements in order to rule out the possibility of hepatocellular carcinoma. If it is liver cancer it should be detected and treated early.