Hemangioma of the liver
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| 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)
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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.