Hemangioma of the liver

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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
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

Hemangiomas, more generally, are dealt 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.
  • May cause congestive heart failure in infants - if large.[2]

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.
  2. Kayaalp, C.; Sabuncuoglu, MZ. (Aug 2015). "Embolization of Liver Hemangiomas.". Hepat Mon 15 (8): e30334. doi:10.5812/hepatmon.30334. PMID 26322113.