Hepatic hemangiomas, are benign tumors of the liver. Hepatic cavernous hemangiomas are the most common. Spongiform hemangiomas are usually solitary and occur mostly in the right lobe of the liver; about 10% are multiple and can be distributed in one or both lobes of the liver. Hemangiomas present in the liver as strawberry-like elevations. They are lobulated or nodular, soft, compressible, and mostly clearly demarcated from adjacent tissues. Patients usually have no conscious symptoms. Classification Hepatic hemangiomas can be classified according to their pathologic features as follows: (1) Spongy hemangioma: The cut surface is honeycomb, filled with blood, and the microscopic examination shows cystic sinusoids of different sizes, filled with red blood cells and sometimes thrombus formation. The thrombus in the fibrous septum and sinusoids can be seen as calcification or venous stone. (2) In sclerosing hemangioma, the lumen of the vessel is closed and the fibrous septum shows more degenerative changes. (3) Vascular endothelial cell tumor, in which the endothelial cells are actively proliferating and prone to malignant transformation. (4) Hepatic capillary hemangioma, with narrow lumen and more fibrous septal tissue. Diagnosis The diagnosis mainly relies on ultrasound, CT and MRI. Treatment The treatment mode is decided according to the size and location of hemangioma. 1.Observation: If the hemangioma is small, 5 cm, fast growing, or located in special parts such as hepatoportal or caudal lobe, it can be surgically removed. 3.Smaller hemangioma can be treated with minimally invasive treatment, such as radiofrequency ablation and microwave ablation. 4.Hepatic artery embolization chemotherapy can be performed if surgery is not possible.