Why is it not recommended to perform surgery on hepatic hemangiomas?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 13, 2024
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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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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 Liu Wu Cai
Hepatobiliary Surgery
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How long does it take to recover from minimally invasive surgery for liver hemangioma?

Patients with liver hemangiomas can undergo minimally invasive surgery via peripheral vascular intervention. They generally recover within three to five days after the surgery. Therefore, for patients with larger liver hemangiomas, which could potentially rupture and bleed, surgical treatment is advisable to achieve complete cure. However, for smaller liver hemangiomas without obvious symptoms, no special treatment is needed. Regular follow-up with color ultrasound to monitor any changes in size is sufficient. If surgery is carried out, the recovery time is generally three to five days, so there is no need for excessive concern.

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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
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Is it serious if a liver hemangioma occasionally causes needle-prick-like pain?

For patients with liver hemangiomas, if they occasionally experience needle-like pain, the condition is relatively mild at that time, but regular follow-up ultrasound exams are still needed to monitor changes in the condition. The diet should primarily be light, including plenty of fresh vegetables and fruits, avoiding hard-to-digest foods, and avoiding spicy and irritating foods to reduce inflammatory stimulation, which is beneficial for controlling the condition. Of course, if the hemangioma is large, it may cause local compression symptoms, primarily characterized by persistent pain in the liver area. For such cases, surgery should be performed as soon as possible to achieve a cure and improve the patient's prognosis.

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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.