What to do if liver cysts and hepatic hemangiomas are found in the elderly during physical examinations

  With the widespread use of liver imaging, many elderly people who are found to have liver cysts and hepatic hemangiomas during medical checkups become anxious and repeatedly ask their doctors to find ways to remove the cysts and hemangiomas.  In fact, there is no need to rush to treat liver cysts and hemangiomas when they are found. First of all, liver cysts are a very common benign disease of the liver. In health checkups, the detection rate of liver cysts is 1 to 2 percent. There are both congenital and acquired liver cysts.  Congenital liver cysts are present at birth, and liver cysts grow slowly and can remain unchanged for many years. Acquired liver cysts are not present at birth and later, with age, neoplastic cysts appear in the liver as a result of degenerative changes in the hepatic ducts.  Typically, liver cysts do not rupture, bleed, become infected, or become malignant.  Usually, liver cysts do not lead to abnormal liver function or develop into liver cancer. Hepatic hemangioma is a benign tumor of the liver. The most common type of hepatic hemangioma is hepatic cavernous hemangioma, which is usually caused by congenital abnormal development of blood vessels. Smaller tumors do not show symptoms, grow slowly, are not malignant, pose no threat to patients, and generally do not require treatment. Liver cysts and hepatic hemangiomas are considered for treatment only when they are larger or symptomatic. However, in order to observe the changes of cysts and hemangiomas, it is still necessary for patients to have an ultrasound examination every six months to one year.