Difference between revisions of "Hemangioma of the liver"
Jump to navigation
Jump to search
| Line 30: | Line 30: | ||
| Tx = usually follow-up, non-conservative if very large | | 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]].<ref name=pmid11039718>{{Cite journal | last1 = Yamashita | first1 = Y. | last2 = Shimada | first2 = M. | last3 = Taguchi | first3 = K. | last4 = Gion | first4 = T. | last5 = Hasegawa | first5 = H. | last6 = Utsunomiya | first6 = T. | last7 = Hamatsu | first7 = T. | last8 = Matsumata | first8 = T. | last9 = Sugimachi | first9 = K. | title = Hepatic sclerosing hemangioma mimicking a metastatic liver tumor: report of a case. | journal = Surg Today | volume = 30 | issue = 9 | pages = 849-52 | month = | year = 2000 | doi = | PMID = 11039718 }}</ref> | ||
''Hemangiomas'', more generally, are dealt with in the ''[[hemangioma]]'' article. | ''Hemangiomas'', more generally, are dealt with in the ''[[hemangioma]]'' article. | ||
| Line 36: | Line 36: | ||
==General== | ==General== | ||
*Benign.<ref name=pmid26361504>{{Cite journal | last1 = Bajenaru | first1 = N. | last2 = Balaban | first2 = V. | last3 = Săvulescu | first3 = F. | last4 = Campeanu | first4 = I. | last5 = Patrascu | first5 = T. | title = Hepatic hemangioma -review. | journal = J Med Life | volume = 8 Spec Issue | issue = | pages = 4-11 | month = | year = 2015 | doi = | PMID = 26361504 }}</ref> | *Benign.<ref name=pmid26361504>{{Cite journal | last1 = Bajenaru | first1 = N. | last2 = Balaban | first2 = V. | last3 = Săvulescu | first3 = F. | last4 = Campeanu | first4 = I. | last5 = Patrascu | first5 = T. | title = Hepatic hemangioma -review. | journal = J Med Life | volume = 8 Spec Issue | issue = | pages = 4-11 | month = | year = 2015 | doi = | PMID = 26361504 }}</ref> | ||
**Can be hard to differentiate from metastatic disease on imaging.<ref name=pmid11039718/> | |||
*Usually an incidental finding (incidentaloma) and often asymptomatic.<ref name=pmid26361504/> | *Usually an incidental finding (incidentaloma) and often asymptomatic.<ref name=pmid26361504/> | ||
*Large lesions may present with upper abdominal pain. | *Large lesions may present with upper abdominal pain. | ||
Revision as of 14:05, 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.[1]
Hemangiomas, more generally, are dealt with in the hemangioma article.
General
- Benign.[2]
- Can be hard to differentiate from metastatic disease on imaging.[1]
- Usually an incidental finding (incidentaloma) and often asymptomatic.[2]
- Large lesions may present with upper abdominal pain.
- May cause congestive heart failure in infants - if large.[3]
Clinical:
- Do not grow in size - can be followed if small or medium size (<10 cm).[2]
Gross
- Variable size.
- Well circumscribed.
Microscopic
Features:
- Channels lined by benign endothelium containing RBCs.
DDx:
Images
Cavernous liver hemangioma - intermed. mag. (WC/Nephron)
Cavernous liver hemangioma - high mag. (WC/Nephron)
Sign out
Liver Lesion, Core Biopsy: - Cavernous hemangioma. - NEGATIVE for malignancy.
See also
References
- ↑ 1.0 1.1 Yamashita, Y.; Shimada, M.; Taguchi, K.; Gion, T.; Hasegawa, H.; Utsunomiya, T.; Hamatsu, T.; Matsumata, T. et al. (2000). "Hepatic sclerosing hemangioma mimicking a metastatic liver tumor: report of a case.". Surg Today 30 (9): 849-52. PMID 11039718.
- ↑ 2.0 2.1 2.2 Bajenaru, N.; Balaban, V.; Săvulescu, F.; Campeanu, I.; Patrascu, T. (2015). "Hepatic hemangioma -review.". J Med Life 8 Spec Issue: 4-11. PMID 26361504.
- ↑ Kayaalp, C.; Sabuncuoglu, MZ. (Aug 2015). "Embolization of Liver Hemangiomas.". Hepat Mon 15 (8): e30334. doi:10.5812/hepatmon.30334. PMID 26322113.