When should a liver hemangioma be removed?

When should a liver hemangioma be removed?

If a liver hemangioma is small, stable and causes no symptoms, it can be monitored with imaging studies every six to 12 months. There are no drug treatments for a liver hemangioma. Surgery may be needed to remove the hemangioma if it grows rapidly or causes significant discomfort or pain.

What is hemangioma embolization?

Indications for embolization include high-output cardiac failure, bleeding, severe coagulopathy in kaposiform hemangioendothelioma, and control of vascularity prior to resection. Embolization of rapidly involuting congenital hemangiomas typically results in rapid improvement in cardiac volume overload.

How is a hemangioma removed from the liver?


  1. Surgery to remove the liver hemangioma. If the hemangioma can be easily separated from the liver, your doctor may recommend surgery to remove the mass.
  2. Surgery to remove part of the liver, including the hemangioma.
  3. Procedures to stop blood flow to the hemangioma.
  4. Liver transplant surgery.
  5. Radiation therapy.

What size liver hemangioma should be removed?

TAE is recommended to reduce hemangioma size, especially when the tumor is larger than 20 cm in diameter [13,14,15,16], and is used in cases of preoperative hepatic hemangioma rupture [17].

Does liver hemangioma cause back pain?

A large hemangioma can cause dull right upper abdominal pain, persistent back pain, nausea, discomfort, and right shoulder pain. A large hemangioma that is close to the liver capsule leads to a slightly higher risk of bleeding with abdominal trauma.

Can a liver hemangioma be misdiagnosed?

Abstract: Background: Hepatic hemangiomas are the most common benign liver tumors which can be often diagnosed radiologically. However despites their typical radiologic findings, giant pedunculated hemangiomas are rare and often misdiagnosed as a supra-renal, retroperitoneal, gastric, or mesenteric mass.

How common is liver hemangioma?

A liver hemangioma (he-man-jee-O-muh) is a noncancerous (benign) mass in the liver made up of a tangle of blood vessels. Also known as hepatic hemangiomas or cavernous hemangiomas, these liver masses are common and are estimated to occur in up to 20% of the population.

Is a 1 cm liver cyst big?

If a cyst is less than 1 cm in diameter, details of septation or other irregularities cannot be seen on US imaging. When cysts are that small, they are usually of no clinical importance, and we follow them expectantly.

What aggravates a liver hemangioma?

Because estrogen is believed to fuel the growth of a hemangioma, the mass may be larger in women as well. People who use hormone replacement therapy to increase their estrogen levels are also at an increased risk of developing a liver hemangioma.

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