I. Is hepatic hemangioma a benign or malignant lesion?
1. It is a benign tumor of the liver.
2.Generally solitary,,more common in the right lobe of the liver.
3.About 10% of the liver is multifocal.
What is the cause of hepatic hemangioma?
1. The exact cause is not known.
2.Related to congenital developmental malformation of intrahepatic vessels.
3.Related to estrogen level.
4.Infection may cause deformation of liver capillaries and spongy expansion.
3.Is there any symptom of hepatic hemangioma?
1.Usually no conscious symptoms.
2.Mostly found during ultrasound examination or other surgeries.
3.Hidden pain in the right upper abdomen and symptoms of indigestion.
4, symptoms of huge hemangioma pressing on surrounding tissues and organs.
5. Coagulation abnormalities caused by thrombocytopenia and coagulation factor depletion.
IV. Signs of hepatic hemangioma?
1. epigastric mass.
2.Usually no pressure pain or light pressure pain.
V. What are the most dangerous complications of hepatic hemangioma?
Rupture of hepatic hemangioma with hemorrhage and shock.
What is the examination of hepatic hemangioma?
1.Ultrasound examination.
2.Enhanced CT.
3.Hepatic arteriogram is invasive examination, mostly unnecessary.
4.Tumor markers (to differentiate from hepatocellular carcinoma: such as fetoprotein).
7. Do all hepatic hemangiomas require surgery?
1.Small and asymptomatic ones do not need surgery.
2.Ultrasound examination every 3 to 6 months
What are the indications for surgery of hepatic hemangioma?
1.Those with obvious symptoms although small (3~5cm)
2.Those who cannot exclude malignant tumor
3. Rapid increase in size within a short period of time (those who may rupture);
4.Protruding from the surface of the liver and easily ulcerated;
5.Hemangioma larger than 10CM.
How to deal with hepatic hemangioma in infants and young children?
The rupture and bleeding of hepatic hemangioma in infants and young children is common, so the treatment is special and should be operated as early as possible.
What are the main surgical treatment methods for hepatic hemangioma?
1.Hemangioma resection.
2.Hemangioma suture ligation.
3.hepatic artery ligation (if resection is not possible)
4.Microwave curettage, radiofrequency treatment, hepatic artery embolization, etc.