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Hepatic hemangioma is typically a benign lesion that is not associated with liver cancer.
Typically, they can be observed. However, if there is rapid growth - or if the lesion grows greater than 5cm, then removal can be considered.
You can consider a CT scan or MRI for further definition of the lesion.
Discussion of possible removal can be done in conjunction with a surgeon.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
VAN
VAN
Thanks
VAN
I was just diagnosed with a liver hemangioma. I am 30 years old and 14 weeks pregnant.
I have been suffering from severe acid reflux and bloating for 7 months and even though endoscopy did not reveal anything and acid reflux medications does not help I never got an explanation for my problems. I noticed a month ago a mass below my heart where the rib cage comes together. I have also had severe pain in my right side, mistakenly diagnosed for gallbladder problems. The ultrasound yesterday showed a clean gallbladder with no signs of distress but
I finally got diagnosed through ultrasound with a liver hemangioma explaining my mass , and I am now really worried. I did not find out the size, but I am worried about my pregnancy and can I continue my athletic lifestyle?
What other tests needs to be done, and what could be done during pregnancy? Can it rupture during delivery?
I am so worried, please help.
Anna
My husband already had a CT scan, ultrasound and blood work. CT scan found 2 in the liver (both under 3cm) and 1 cysts in the kidney, tests are negative for any hepatitis, however, he is feeling very weak (past 4 weeks), loss appetite (loss 5 lbs in 2 weeks), low grade fever. One of the doctors prescribed antibiotics (took it for 2 weeks), he's not getting better and now they are recommending him to wait and see but we find this recommendation to be unsatisfactory.
The doc just informed me of the "masses" this evening...and suggest it "may" be cancer, but they're unsure. They're going to do an ultrasound biopsy TOMORROW...but i've read on how the liver is quite vascularized, and if it's not careful, they may pop the hemagioma!
HOw bad is the situation??? My mom has always been healthy, until recently she started to feel ab pain after taking excessive pain medications! I'm so scared at her condition, and have been browsing the net in search for some news, hopefully, comforting news!
After Nuclear scan,endoscopy,CT & MRI they are still "thinking" they are hemangiomas measuring 4.5 x 6.5 & 3.3 x 2.5 in the right lobe of the liver. I am so frustrated because after all these tests they are still just unsure, They say they look like hemangiomas but are not acting like hemangiomas... They Dr's won't tell me its not cancer as of yet, but from what I have read Biopsy is VERY dangerous, what other options are out there to rule out cancer?
I am a wife & mother of 2, I feel like I need some answers.
any information woudl be helpful.
Tiff
I'm glad to have found this site, and if there are any more specific questions that I have researched, I will be glad to let you know what I have found. The biggest problem is that it is not black and white - proffessionals have different opinions so obviously they don't know enough about hemangiomas of the liver to give any of us conclusive answers. Good luck and God bless you all!
I too was just diagnosed with a henagioma. I am not yet sure of the size, I am scheduled for an MRI in a couple of weeks. I too have been experiencing abdominal pain, headaches, weakness and bloating (I look pregnant). I don't have much of an appetite and when I do eat I feel worse..............does any one know if this is common? I am usaually quite active but lately I have no energy and hurt in places I didn't know could hurt (my spine and back of my head) I see that most doctors say that this cannot cause bloating etc...but in reading the posts most people have been experiencing these sypmptoms.
I am lost for what to think about all of this. I just want it to shrink and go away. I am trying to get a second opion, but don't know what hospital to sned my information to.
I have bee threw alot and I am tried of surgery's.
I am lost for what to think about all of this. I just want it to shrink and go away. I am trying to get a second opion, but don't know what hospital to sned my information to.
I have bee threw alot and I am tried of surgery's.
Karen
I would love to know why the pain comes and goes. So far, I have found that I definitely need to sleep on my left side.
Also, the pain seemed to intensify two weeks ago. I don't often drink, but I was on vacation that week and happened to have 4-5 drinks during the course of the week. I have decided that I really don't like margaritas that much, anyway.
It certainly would be nice to find out what types of activities, foods, or alcohol need to be avoided to keep from having the bouts of pain. Does stress cause them? Does anyone know a specialist in this area?
Karen
I guess I am curious how fast these things grow because when I was hospitalized in December 2004 for unkown abdominal pains that brought me to my knees and horrific bouts of liquid bum....they didn't see anything on my liver CT. I know they checked it and my liver numbers were out of whack along with an enlarged bile duct. They wrote it off as a passed gallstone. I still get this hard, painful lump centered just above my navel from time to time and I have stabbing, intermitent pain under my right rib cage that pokes through to my back and shoulder blade. Eating does the liquid bum thing again and it seems to bring on more severe stabbing abdominal pain. Heck, I don't know how many of these things are related or coincidence. I occassionally get the same type of stomach pain that put me in the hospital before but now it isn't as strong. I started having the right side pain last a week ago and thought I would wait it out to see if it goes away.
I also wonder how many tests until they can figure out what it is? Is a year and a half fast growing for 2 cm? Can someone give me some ideas what it could be? I don't have the seemingly-typical bloating or fever.
Essentially, RF runs electric current into the hemangioma and burns the tissue, sclerosing the veins so they will no longer carry the blood that fills these lesions. The body slowly gets rid of a lot of the dead tissue. This procedure was first done in China and I had to email around to radiologists to see if anyone would try it here. One doctor, Ronald Zagoria at Wake Forest, had treated one patient before mine was done. I was going to travel to be treated by him but discovered the Dr. Lee had just invented a new RF multiprobe tool that would make the procedure faster and better. I imagine that many RF docs now use his multiprobe.
The limitations of RF have to do with the size and location of the hemangioma. If it is in a part of the liver that is close to other organs it is too dangerous to use as it may damage them (although since my procedure they may have perfected techniques to prevent this problem). If it is too large, the treatment may not be successful for reasons I don't understand. The great thing about RF is that your treated one day and out of the hospital the next. No big deal. No significant discomfort.
If RF is not an option, another alternative to surgery is embolization, using a cathather through your veins to sclerose the veins by injecting alcohol into them. There are different levels of this procedure. One is sort of a shotgun approach, sclerosing some large veins leading to the hemangioma. This one has complications of killing good liver tissue around the hemangioma. The other is a refined small catheter approach that scleroses small veins virtually inside the hemangioma. It was perfected by Dr. Wayne Yakes in Colorado. I visited with him before deciding to pursue RF. The downside of his embolization procedure is that he can only treat 4 or 5 veins during a procedure and a large hemangioma has a dozen or more. Since he has to put you under anasthetic for each treatment and spaces them out by a month or two, it looked like I would have to go through the process maybe 5 times. That seemed too much but still looked better than surgery.
Finally, in terms of surgery. There is removal of a lobe of your liver as an option and there's kind of a "melon balling" approach. Surgeons can shoot for the second option but often end up doing the first anyway because the liver is so complex. This is big deal surgery and takes you out of action for a month or two. There are lots of great liver surgery centers, U. of Pittsburgh is the famous one and Dr. Fung there is fantastic to talk to. U of Colorado, Wisconsin, USC (talk to Dr. Rick Selby), Mayo Clinic and more are out there.
And, one more thing. In terms of the potential for rupture of a liver hemangioma, I heard a lot of different things. Primarily, if your hemangioma is well inside the liver, you don't have to worry because if it ruptures it still bleeds within the liver structure. Mine was right on the outside of my right lobe, so I was warned not to have it hit by anything. I did worry because I ski hard, over bumps and through the trees. Plus, after vigorous exercise with twisting or lifting or bumps, I had lots of pain on my right side. Then I was told by a few docs that the impact needed to rupture a hemangioma, even one on the outside, would have to be big enough to rupture my liver anyway. I don't think there is clear evidence either way but I wouldn't worry about it unless your hemangioma is more than 10 cm and close to the outside.
I hope all of this info helps. Good luck.
I also have upper abdominal pain but think it is due to stomach problems.
Have anyone heard of treating hemangioma with chinese herbs?
Check this link:
http://www.herbchina2000.com/therapies/QHP.shtml
I go to the surgeon next week to get a consult on the best treatment options for my cavernous liver hemangioma measuring 7.5 x 6.7 x 4.7 cm. I'm going to ask the surgeon about Radiofrequency Ablation and Transcatheter Embolization and what the risks are involved with both. Hopefully treatment can wait for while because I am not mentally ready to go through anything yet.
My family practicioner simply called me on the phone said do nothing but wait and see there size in 9 months. Should I be concerned? I am having bloating, pain, naushea after eating. All off and on! Also I have been feeling as though my hormones are gong crazy and see my OB next week for that. Is there a connection. By the way I have 4 children the youngest 18 months and just had a IUD inserted?)
I returned for a cat scan in Oct 06 for a comparison of the hemangioma. There was no change in size but it is impacting other organs like my right kidney, colon and inferior vena cava vein. Otherwis, everything else looked normal. He did want me to consult with a surgeon to get his ideas. It seems that everything I'm reading on these sites encourage surgery for giant hemangiomas. I'm having no pain but I am now in fear of any trauma that would cause it to rupture. It seems if it ruptures you're in a very dangerous situation with internal bleeding and your bascially in big trouble but you would be at the mercy of an emergency room that is really not equipped to handle situation. *Even my doctor said that would not be a good scenario. I did call a surgeon, Dr. Leslie Blumgart from Sloan Kettering that I will meet with. I did send my reports to his office and he did say I would be a candidate for surgery however, he wants to read my x-rays, etc..
I've heard of RF Abilation that send electric currents to hemangioma but is dangerous if it is near other organs. Also, embolization my doctor said would probably not be an option because mine is so big. I am very nervous and would greatly like to hear from anyone in the same situation. The surgery seems so major and archaic especially in today's times and I'm afraid of the risks. I have two children that have other issues regarding connective tissue disorders and I need to be around for them & my husband.
Thanks for listening. I just came across this forum. I'm usually on other forums for my kids problems, (ehlers Danlos Syndrome & Pectus excavatum)
Thanks.
T.