Will the hepatic hemangioma grow back after it has been removed?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 13, 2024
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It is possible for liver hemangiomas to recur after they have been removed.

Therefore, for the treatment of liver hemangiomas, minimally invasive surgery, namely interventional treatment, is mainly chosen in clinical practice, which can achieve better treatment effects. Patients with liver hemangiomas often have a benign tumor, generally without obvious discomfort, but there is a possibility of rupturing and bleeding, or even causing hemorrhagic shock. Therefore, for larger liver hemangiomas, surgical treatment should be administered as soon as possible. Interventional surgery can achieve very good treatment results, but there is still a possibility of recurrence after surgery, so regular follow-up with color Doppler ultrasound is necessary to dynamically observe changes in the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is a hemangioma of the left liver serious?

If the severity of a liver hemangioma occurs, it is mainly related to the size of the tumor. For patients with small liver hemangiomas, there are generally no obvious symptoms, and most are discovered only during ultrasound examinations, not requiring special treatment. Therefore, the condition is relatively mild, and it is sufficient to periodically review the ultrasound to observe any changes in size. However, for patients with large liver hemangiomas, there is a possibility of rupture and bleeding, and even leading to hemorrhagic shock, making the condition serious. Early surgical treatment should be pursued to improve the prognosis of the patient. The surgical methods mainly include minimally invasive surgery, using interventional surgery to achieve embolization, thus treating the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What is causing the right-sided distension and pain in a liver hemangioma?

Patients with hepatic hemangioma primarily experience discomfort and pain in the upper right abdomen. Hepatic hemangioma is a benign tumor, but there is a possibility of rupture and hemorrhage, leading to hemorrhagic shock. Therefore, patients with symptomatic hepatic hemangioma should be treated promptly to prevent complications. For patients with hepatic hemangioma who experience discomfort and pain in the upper right abdomen and liver area, early surgical intervention is advised. The primary approach for surgery is interventional surgery, which can achieve better therapeutic effects. Additionally, patients with asymptomatic hepatic hemangioma still require regular follow-up with ultrasound to monitor any changes in the size of the tumor.

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Written by Shen Jiang Chao
Radiology
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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.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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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.

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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.