Is it better to have surgery or intervention for hepatic hemangioma?

  Patient: In September 2006, a CT examination revealed a nodular abnormal density foci in the right lobe of the liver with a diameter of about 3.8 cm, a centripetal strengthening foci in the arterial phase, a gradual filling of the contrast in the portal phase, and a basic isointensity foci in the delayed phase. (In January 2008, the ultrasound examination was 6.3×5.4cm (during this period, the person gained weight and weighed 20KG), and in October 2008, the ultrasound examination was 5.4×5.1cm. 2 years ago, when it was discovered, it was a gastric perforation, and the surgery was performed to repair it. The body is very good no abnormalities, this situation is possible to do intervention?  Shunda Du: Hello, from your description of the characteristics of the enhanced CT in September 2006, the mass should be a hemangioma, but the specific location is not clear from your description. Hepatic hemangioma is generally a benign disease and can be observed when the volume is small. As it increases in size it will gradually invade the normal liver tissue and the surrounding vascular tissue. Therefore, when the size is larger than 5 cm (the standard may vary slightly from hospital to hospital and from doctor to doctor), surgical removal is recommended. Interventional treatment is to block the blood vessel by iodine oil, but the iodine oil will gradually dissipate with the impact of blood flow, so interventional treatment does not achieve a radical cure. There are only two types of hemangiomas for which interventional therapy is recommended: those that cannot be removed but are not eligible for transplantation, and those whose medical condition does not allow for surgery. Lastly, we recommend that you bring your test results to the liver surgery clinic of your regular hospital.  Patient: Thank you, Dr. Du, for your reply in your busy schedule. I would also like to ask if hemangioma grows back as a person gains weight and if weight loss will shrink it?  Du Shunda: The size of hemangioma has little to do with the body’s fatness.  Patient: Thank you Dr. Du hemangioma is in the right anterior lobe of the liver close to the first and second hepatic hilum, can we do intervention?  Patient: September 2006 enhanced CT impression: bilateral pleural hypertrophy, what kind of disease is this?  Patient: Hemangioma in the right anterior lobe of the liver immediately adjacent to the first and second hepatic hilum, can intervention be done? Is there any danger? Will it recur after doing intervention?  Shunda Du: There are risks in any operation, just like you need to buy airline insurance when you go on a plane, but not every plane has an accident. Please refer to the previous answer for whether there will be recurrence after intervention. Pleural hypertrophy may be due to post-inflammatory reaction and can be seen in thoracic surgery.