Difference between revisions of "Hemangioma of the liver"

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{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Cavernous liver hemangioma - intermed mag.jpg
| Width      =
| Caption    = Cavernous liver hemangioma. [[H&E stain]].
| Synonyms  =
| Micro      =
| Subtypes  =
| LMDDx      = [[epithelioid hemangioendothelioma]], [[angiosarcoma]], [[metastatic disease]]
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Site      = [[liver]]
| Assdx      =
| Syndromes  =
| Clinicalhx = often an incidental finding
| Signs      =
| Symptoms  = +/-upper abdominal pain
| Prevalence =
| Bloodwork  =
| Rads      = well circumscribed mass
| Endoscopy  =
| Prognosis  = benign
| Other      =
| ClinDDx    = [[metastatic disease]]
| Tx        = usually follow-up, non-conservative if very large
}}
'''Hemangioma of the liver''', also '''liver hemangioma''' and '''hepatic hemangioma''', is a benign [[vascular tumour]] of the [[liver]], that may be mistaken for [[metastatic disease]].  
'''Hemangioma of the liver''', also '''liver hemangioma''' and '''hepatic hemangioma''', is a benign [[vascular tumour]] of the [[liver]], that may be mistaken for [[metastatic disease]].  



Revision as of 13:48, 19 October 2015

Hemangioma of the liver
Diagnosis in short

Cavernous liver hemangioma. H&E stain.
LM DDx epithelioid hemangioendothelioma, angiosarcoma, metastatic disease
Site liver

Clinical history often an incidental finding
Symptoms +/-upper abdominal pain
Radiology well circumscribed mass
Prognosis benign
Clin. DDx metastatic disease
Treatment usually follow-up, non-conservative if very large

Hemangioma of the liver, also liver hemangioma and hepatic hemangioma, is a benign vascular tumour of the liver, that may be mistaken for metastatic disease.

Hemangiomas more generally are dealth with in the hemangioma article.

General

  • Benign.[1]
  • Usually an incidental finding (incidentaloma) and often asymptomatic.[1]
  • Large lesions may present with upper abdominal pain.

Clinical:

  • Do not grow in size - can be followed if small or medium size (<10 cm).[1]

Gross

  • Variable size.
  • Well circumscribed.

Microscopic

Features:

  • Channels lined by benign endothelium containing RBCs.

DDx:

Images

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Liver Lesion, Core Biopsy:
- Cavernous hemangioma.
- NEGATIVE for malignancy.

See also

References

  1. 1.0 1.1 1.2 Bajenaru, N.; Balaban, V.; Săvulescu, F.; Campeanu, I.; Patrascu, T. (2015). "Hepatic hemangioma -review.". J Med Life 8 Spec Issue: 4-11. PMID 26361504.