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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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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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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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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Symptoms of deteriorating hepatic hemangioma

When deterioration occurs in liver blood vessels, it primarily manifests as rupture and bleeding of hepatic hemangiomas, which can lead to hemorrhagic shock, and even cause death. Of course, in the early stages of the disease, patients may only experience discomfort and pain in the upper right abdomen. As the bleeding increases, the pain becomes significant, and clinical symptoms such as decreased blood pressure and increased heart rate may occur. Therefore, it is important to pay close attention to patients with large hepatic hemangiomas and perform surgery as early as possible for a definitive cure. Moreover, postoperative attention is still needed. Patients should avoid injuries, follow a light diet primarily, eat more fresh vegetables and fruits, and reduce the burden on the liver to better facilitate recovery from the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is a two-centimeter liver hemangioma serious?

When the volume of a liver hemangioma is two centimeters, the condition is relatively mild and usually does not present any obvious symptoms, thus requiring no special treatment. Of course, it is advisable to avoid hard-to-digest foods and spicy foods to reduce the burden on the liver, which can help control the condition. However, for patients with larger liver hemangiomas, there is often a risk of rupture and bleeding, making the condition more severe and sometimes leading to death due to hemorrhagic shock. Therefore, for patients with larger liver hemangiomas, it is advisable to opt for surgical treatment as early as possible, as surgery is the only way to completely treat the condition.