Hemangioma of the liver

What Are Hemangiomas? | Hemangioma Of The Skin Causes, Identification & Diagnosis. (Health And Medical Video 2017).

The hemangiomas of the liver are congenital benign tumor-like vascular origin that occurs in 7% of healthy people.

Hemangioma is not a sincere tumor, but a local area of ​​the cluster of interwoven smallest vessels of the liver, in the structure of which all the structural elements of the venous walls are involved.

Types of hemangiomas of the liver

There are two types of liver hemangiomas:

  • Capillaries, formed by interweaving of small vessels (capillaries), therefore practically do not form cavities with blood clot, their sizes vary from 5 to 30 mm.
  • Cavernous, formed by vessels larger in diameter, with the formation of cavities containing blood-caverns, which are internally lined endothelium and separated by connective tissue septum. In such cavities, blood may sometimes collapse, thereby forming thrombi, which later replace the connective tissue with the formation of compacted (fibrous) sites. The dimensions of such a hemangioma may range from 2 to 10 cm in diameter and more.

Diagnosis of hemangiomas of the liver

The hemangiomas of the liver proceed asymptomatic, not prone to oozloquecasting, therefore, it is often detected by accident when conducting an ultrasound of any other occasion. It occurs more often in women than in men. The amount of hemangiomas in the liver usually does not exceed two to three, more rare single hemangiomas, and occasionally multiple.

Diagnosis of hemangiomas of the liver and control of their condition are usually carried out with the help of an ultrasound scan, less often - MRI. For differential diagnosis between hemangioma and newly diagnosed malignant liver tumors using radioisotope research - scintigraphy. Liver biopsy is not suspected of having hemangiomas, as severe bleeding may develop.

Controlling the growth of newly diagnosed hemangioma initially conducted every three months for a year, if not increase -sposterihayetsya (performed ultrasound or MRI) twice a year, and then once a year.

More frequent monitoring hemangioma is required if the patient receives hormone therapy or estrogen being treated since it is believed that estrogen may sometimes contribute to the growth of hemangiomas (because they are much more common in women than in men, especially after puberty).

Treatment of hemangiomas of the liver

Special treatment of hemangiomas do not require, but the presence of large (greater than 5 cm in diameter) or growing (more than 50% per year) hemangiomas they still recommend deleting, as there is a risk of traumatic superficial hemangiomas liver in blunt abdominal trauma and Malignancy (malignancy) of large hemangiomas.

Surgical treatment of hemangiomas require located near blood vessels and bile ducts of the liver and compressing them, thus causing violations of the outflow of bile and microcirculation in liver tissue. In these cases, the most often spend:

  • Resection of the liver area with hemangiomas;
  • Operation of X-ray diffractoscopy contributes to blood vessels;
  • Punctory sclerosis, when under the control of an ultrasound is puncture of the cavernous hemangiomas with the removal of its fluid content and the introduction of sclerosing material.

The decision on the need for surgical treatment of liver hemangiomas, as well as the form of surgery, is taken by the hepatologist after a comprehensive examination of the patient.


Hemangioma of the liver

Category Of Medical Issues: Diseases