Liver hemangioma - a benign vascular
tumor, which is found in approximately 7% of people. Usually no propensity
to malignancy (degeneration into malignant condition) occurs in women
more often than men by 3-5 times. With small size of the tumor is not
danger to life, with sprawl to the size of more than 3 cm in need of treatment.
Liver hemangioma is a benign
vascular neoplasm dizembrioplasticheskaya or blastomatous nature.
Typically, the tumor size of less than 3 cm, in rare cases can reach 5-6
Causes and types
The exact reasons are not established. It is believed that the disease
may develop as a result of a congenital defect, and after receiving the drugs in
There are two types of tumors:
Capillary hemangiomas - consist of small
cavities the size of 2-3 cm in diameter. Often, each of them has a separate vein.
Cavernous hemangioma - consist of small
cavities, which are combined into larger ones. Have uneven contours and heterogeneous
structure, their size can reach 20 cm.
With small size tumors disease is
asymptomatic. Symptoms begin to appear when the tumor reaches a sufficiently
large and starts to affect other organs. Usually
there aching pain in the right upper quadrant, sometimes - feeling
tightness of the internal organs, nausea and vomiting. Because compression
growing tumor inside the branches of the portal vein and biliary main body
tributaries may show symptoms of portal hypertension and obstructive
In the case of large tumors in late
begun treatment may develop various complications. Among them: the heart
failure, thrombosis and tumor feeding vessels rupture with profuse
intraperitoneal bleeding that can lead to severe bleeding and
death. Rupture of the tumor is a rare but dangerous complication,
because in the case of acute abdominal pain requiring urgent
If you suspect a disease carried out blood tests,
and the patient is sent for further examination. The most common method for diagnosis of hemangioma in public hospitals - ultrasound
liver research. modern methods commonly used in private clinics,
allow to set more accurate diagnoses - computer and magnetic resonance
tomography. If you suspect that the development of the right lobe of the liver hemangioma patient
directed to angiography, which allows to find out the condition of blood
vessels. When hemangioma prohibited biopsy, because the procedure is
If the tumor is small size and its presence is no
not dangerous, the treatment is not required. But if it growths
can cause serious consequences.
When accompanied by a proliferation of complex symptoms shown
surgery to remove the tumor completely. Surgical intervention
required when the tumor reached more than 5 cm in diameter, located
surface, squeezing the internal organs and is a threat or infection
degeneration into a malignant form. Operation is contraindicated in defeat
major veins of the liver and detection of passing cirrhosis patient. Not
It removed as hemangioma, located simultaneously in both lobes of the liver.
Often practiced non-surgical treatment
using a laser, microwave, radiotherapy and electrocoagulation
cryoablation. If abnormal cells are destroyed radiotherapy provoking
the development of the disease, with the use of laser technology creating sclerosis
the affected vessels. The basis is the use of cryoablation
low temperature of liquid nitrogen, electrocautery and - high
electric current. When medical treatment is carried hormone
therapy, the dosage and duration of which is determined individually.