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Hemangioma
Difference between liver hemangioma and liver cancer in ultrasound
Liver hemangiomas display a variety of appearances on ultrasound, including hyper-echoic, hypo-echoic, and mixed echoes. Typically, hemangiomas appear on ultrasound as round or oval hyper-echoic masses, with internal echoes that may show a sieve-like change. In contrast, liver cancer primarily appears as hypo-echoic on ultrasound, and liver cancer symptoms are more varied because most liver cancers develop on the basis of cirrhosis. In addition to hypo-echoic masses, there are other manifestations, such as an incomplete liver capsule, widened liver fissures, spleen enlargement, and dilated portal veins, which are used to differentiate from hemangiomas.
What should be done about infantile hemangiomas?
If an infant has a hemangioma, it is first necessary to assess the location and size of the hemangioma. Currently, the main treatments for hemangioma include: Firstly, oral medications such as Xin De An, which is commonly used for cardiovascular issues, can gradually reduce the size of the hemangioma. Although it is an oral medication, it is essential to conduct electrocardiograph and echocardiogram examinations before taking the medication, and the treatment should be carried out under the guidance of a hospital doctor, followed by regular observation. Secondly, topical application of certain eye drops may gradually reduce smaller hemangiomas. Thirdly, surgical treatment is used for particularly large hemangiomas to completely eliminate them. Another method is to treat older children with laser or plasma therapy; this is generally performed when the child is older, and the local treatment is quite effective.
Can hemangiomas be left untreated?
Hemangiomas on the head and face, and those around the eyes, tend to invade the eyeballs or cause complications such as glaucoma. Hemangiomas in the parotid gland area can compress or damage the facial nerve, leading to facial paralysis. Nasal hemangiomas may block the nasal passages, causing deformities of the nostrils. Lip hemangiomas, due to friction from sucking or eating, are prone to rupture causing deformities of the lip; ear hemangiomas, because of poor blood circulation, are prone to infection after rupture. Hemangiomas on the limbs and body, due to the rapid growth of some, can invade muscle tissue, bones, or joints, causing local pain and, in severe cases, joint deformities and other functional symptoms. Therefore, it is necessary to treat hemangiomas.
Does staying up late affect liver hemangioma?
Staying up late can affect patients with hepatic hemangiomas. Chronic sleep deprivation may impair liver function, potentially exacerbating hepatic hemangiomas significantly. Hepatic hemangiomas are a type of benign tumor, but they can rupture and bleed, causing liver hemorrhage and even leading to hemorrhagic shock. Therefore, patients with hepatic hemangiomas, especially those with larger tumors, should be actively treated, potentially through interventional surgery to achieve a cure. Additionally, for patients with smaller hepatic hemangiomas, conservative treatment may be appropriate for the time being. However, lifestyle and dietary habits need special attention, such as avoiding hard-to-digest and spicy foods.
Will hemangiomas resolve on their own?
Pediatric hemangiomas are relatively common congenital disorders in pediatric surgery, frequently found on the face, body surface, and limbs. They appear as red or purplish-red protruding lumps with clear boundaries. These lumps do not blanch when pressed, grow in size with the child's growth and development. Clinically, pediatric hemangiomas are categorized into capillary hemangiomas, cavernous hemangiomas, and racemose hemangiomas. Capillary hemangiomas in children often disappear on their own within one to two years, while cavernous and racemose hemangiomas usually require surgical treatment. Thus, it is said that pediatric capillary hemangiomas can regress spontaneously.
Is pain from a liver hemangioma normal?
If a patient with a liver hemangioma experiences pain, this is not within the normal range. When the liver hemangioma is small, patients generally do not experience significant discomfort and do not require special treatment. Regular follow-up with ultrasound to dynamically observe changes in size is sufficient. However, if a patient with a liver hemangioma experiences pain in the liver area, this should be taken seriously, as it may indicate rupture and bleeding of the hemangioma, especially when the hemangioma is large. Therefore, for patients with large hemangiomas, early interventional treatment should be administered, as only through interventional surgery can the therapeutic effect be achieved, preventing the worsening of the condition. Additionally, patients with liver hemangiomas should avoid hard-to-digest foods in their diet to reduce the burden on the liver and better manage the condition.
Can hemangiomas go untreated?
The severity of harm varies with different types of hemangiomas, such as in adults with mixed-type hemangiomas. These can continually develop as the patient ages. If the affected areas expand further, they may extend to tissues and organs like the eyes, nose, lips, or ears. These organs might then become covered by the expanding vascular tissue, potentially causing impairments in functions such as breathing, eating, vision, and hearing. If hemangiomas appear on the limbs, they can also lead to dysfunction, affecting mobility. Therefore, it is advisable to seek treatment for hemangiomas as early as possible.
How are hemangiomas formed?
The etiology of hemangioma is unknown. Studies have shown that the use of progesterone during pregnancy, undergoing chorionic villus sampling, hypertensive disorders during pregnancy, and low birth weight at the time of birth may be related to the formation of hemangiomas. It is believed that hemangiomas are a result of minor misconfigurations in the control gene segments during the embryonic development process, particularly during the early stages of vascular tissue differentiation. This leads to abnormal tissue differentiation at specific sites, eventually developing into hemangiomas. During the early months of embryonic development, from eight to twelve months, mechanical damage to embryonic tissue and local bleeding can cause some hematopoietic stem cells to be distributed among other embryonic cells, some of which differentiate into vessel-like tissues and ultimately form hemangiomas.
Symptoms of malignant liver hemangioma
Thank you. When deterioration occurs in patients with hepatic hemangiomas, the main complication is the rupture of the vascular tumor leading to hemorrhage. This can potentially cause hemorrhagic shock and result in death. Regarding hepatic hemangiomas, they are benign tumors. When they are small in size, they typically do not cause any noticeable discomfort and do not require special treatment; regular follow-up with ultrasound examination to monitor changes in the condition is sufficient. For larger hepatic hemangiomas, there is a potential risk of rupture and bleeding. Therefore, dietary considerations for patients with hepatic hemangiomas should include avoiding spicy and irritating foods, as well as hard-to-digest foods, to reduce the burden on the liver, which is conducive to recovery of the condition.
How to treat nasal hemorrhagic angioma?
There are many causes of nosebleeds. If the bleeding is caused by a hemangioma, surgery is generally required. After the surgical removal of the hemangioma, hemostatic treatment can usually be carried out. If the hemangioma is particularly small, some patients may also consider nasal packing for compression hemostasis. After compression by packing, some patients may have the hemangioma occluded and then stop bleeding. However, regular follow-ups are still needed in this situation, as some patients may experience recurrent conditions, and regular nasal endoscopy checks are required to observe any changes in the nasal and sinus conditions. Additionally, routine blood tests and coagulation function tests should be conducted to rule out any blood diseases.