How are hepatic hemangiomas treated?

Updated: Jun 17, 2019
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Answer

Most hepatic hemangiomas are small and asymptomatic at the time of diagnosis, and they are likely to remain that way. In one prospective study, an increase in hemangioma size was noted in only 1 of 47 patients who were rescanned 1-6 years after the initial diagnosis. [46] In addition, malignant transformation has not been reported in hepatic hemangiomas. For these reasons, most hepatic hemangiomas may be left safely alone.

Consultation with a surgeon is warranted if resection is the choice of therapy.

No inpatient care is required for routine follow-up. Hospitalization is limited to the time when surgery is planned as a treatment option.


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