Do liver hemangiomas need to be treated?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 19, 2024
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Whether treatment is needed for liver hemangiomas mainly depends on the size and volume of the hemangioma and whether there are any symptoms.

For patients with liver hemangiomas, those with relatively large volumes may experience liver bleeding or even affect liver function. In such cases, surgical treatment should be performed. The surgery can be done through interventional procedures to achieve ligation, which can cure the condition.

Of course, for patients with smaller liver hemangiomas, there are generally no obvious symptoms, and most are only discovered during ultrasound examinations. There is no need to be overly worried or to undertake special treatments in such cases. Regular ultrasound check-ups to dynamically observe any changes in volume are sufficient. However, if the condition worsens, early treatment should be administered to improve the prognosis for the patient.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Why is it not recommended to perform surgery on hepatic hemangiomas?

Patients with hepatic hemangioma generally do not exhibit obvious symptoms, and most cases are discovered during color Doppler ultrasound examinations. Hence, surgical treatment is not required at this time. It is possible to regularly re-examine the color Doppler ultrasound dynamics and monitor any changes in volume. However, for large hepatic hemangiomas, complications such as rupture, bleeding, and even life-threatening hemorrhagic shock may occur, leading to death. Therefore, early surgical treatment is advised for such cases. The primary method is minimally invasive surgery achieved through interventional procedures. Post-surgery, regular follow-up with color Doppler ultrasound is also necessary to dynamically observe any changes in the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do liver hemangiomas occasionally cause pain?

Patients with hepatic hemangioma may occasionally experience pain. Although hepatic hemangioma is a benign tumor, it can still cause pain in the liver area. Moreover, the most severe complication of hepatic hemangioma is liver bleeding. Therefore, it is advisable to perform surgery as soon as possible when the tumor is large. The primary method of surgery is interventional surgery, which can achieve a cure by ligation. If not actively managed, liver bleeding can occur, leading to a critical condition, even causing hemorrhagic shock and death. Therefore, it is important to pay attention to this condition, and for smaller hepatic hemangiomas, regular follow-up color ultrasound examinations should be conducted to dynamically observe changes in size.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will a liver hemangioma show blood flow signals on an ultrasound?

Patients with hepatic hemangiomas exhibit blood flow during ultrasound examinations. Hepatic hemangiomas are common benign tumors of the liver that usually don't show noticeable symptoms when they are small and don't require special treatment; routine follow-up with color Doppler ultrasound is sufficient. However, if a hepatic hemangioma is large, it could potentially rupture and bleed, making the condition severe. This could even lead to hemorrhagic shock and death. Therefore, patients with large hepatic hemangiomas should undergo surgery as soon as possible. Surgical intervention is necessary to cure the condition, with the primary method being interventional surgery, which can achieve the treatment objectives.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will liver hemangioma increase cancer embryonic antigen?

Generally speaking, hepatocellular adenomas do not exhibit elevated levels of carcinoembryonic antigen (CEA). Regarding hepatocellular adenomas, they are benign liver lesions and typically do not cause any noticeable symptoms in patients. They are most often discovered during ultrasound examinations. Patients with larger hepatocellular adenomas may experience pain in the liver area, and there is also a possibility of rupture and bleeding. Therefore, early surgical intervention is advisable, as surgery can yield excellent treatment outcomes. However, generally, patients with hepatocellular adenomas do not exhibit an increase in CEA. Elevated tumor markers and increased CEA are found in patients with malignant liver tumors.

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Written by Liu Wu Cai
Hepatobiliary Surgery
52sec home-news-image

Do liver hemangiomas need to be treated?

Whether treatment is needed for liver hemangiomas mainly depends on the size and volume of the hemangioma and whether there are any symptoms. For patients with liver hemangiomas, those with relatively large volumes may experience liver bleeding or even affect liver function. In such cases, surgical treatment should be performed. The surgery can be done through interventional procedures to achieve ligation, which can cure the condition. Of course, for patients with smaller liver hemangiomas, there are generally no obvious symptoms, and most are only discovered during ultrasound examinations. There is no need to be overly worried or to undertake special treatments in such cases. Regular ultrasound check-ups to dynamically observe any changes in volume are sufficient. However, if the condition worsens, early treatment should be administered to improve the prognosis for the patient.