Can hepatic hemangioma be treated medically? Hepatic hemangioma is a common benign tumor of liver, which grows slowly and has little effect on the whole body. In the early stage, it is usually asymptomatic and the liver function is normal, and it is mostly found during ultrasound of physical examination. When the tumor grows to a certain degree, liver distension and pain, hepatomegaly, loss of appetite, dyspepsia, etc. may occur, and liver function of individual patients may be abnormal. Fortunately, up to now, hepatic hemangioma basically will not be malignant, and the chance of spontaneous rupture and bleeding is also rare. There is no “special medicine” for hepatic hemangioma, and the main treatment is surgery. Whether surgery is needed depends on the size of the tumor, its location and growth rate. Generally speaking, if the tumor is less than 5 centimeters, does not compress or close to large blood vessels, and grows slowly, surgery is not necessary. However, care should be taken to avoid overly strenuous exercise. Ultrasound examination should be performed every 3-6 months for newly detected hepatic hemangiomas, and repeated once a year if the diagnosis has been confirmed for many years. Surgery should be considered if the tumor is larger than 5 cm (especially larger than l0 cm), compressing or close to large blood vessels and growing fast. The common surgical methods used to treat hepatic hemangioma mainly include hepatic lobectomy, hemangioma bundling, hepatic artery ligation, etc., among which hepatic lobectomy has the best efficacy. There is also interventional therapy, in which a thin tube is inserted into the artery supplying the hepatic hemangioma and an embolic agent is injected; smaller hepatic hemangiomas can be treated with radiofrequency or freezing.