[Liver hemangiomas--diagnostic and treatment strategy]

Liver hemangiomas are benign mesenchymal tumors or the liver. The majority of them are asymptomatic, diagnosed accidentally during abdominal examination for other reasons. Ultrasonography. computer tomography and magnetic resonance are the main diagnostic instruments. Symptomatic, large cavernous hemangiomas or hemangiomas located on the liver surface with a risk of rupturing because of their size, are indicated for surgical management or radiointervetion. The authors present a patient group of 34 subjects with cavernous hemangiomas of the liver indicated for surgery (N = 25), or radiointervention (N = 9), based on the above critera. The thirty-day mortality rate was nil and morbididty 5.9%. The authors recommend enucleation of the hemangioma, which is technically simple and safe. From a long-term perspective, radiointervention is frequently poorly effective, and, therefore, should be indicated in polymorbid patients.