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Hepatic hemangiomas.

K E Hobbs1

  • 1Academic Department of Surgery, Royal Free Hospital School of Medicine, London, England, United Kingdom.

World Journal of Surgery
|July 1, 1990
PubMed
Summary
This summary is machine-generated.

Infantile hepatic hemangioendothelioma can be life-threatening, requiring aggressive treatment. Adult hepatic hemangiomas are typically asymptomatic and biopsy should be avoided to prevent rare but fatal rupture.

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Area of Science:

  • Hepatology
  • Vascular Lesions
  • Pediatric and Adult Medicine

Background:

  • Hepatic hemangiomas present in two distinct forms: infantile hepatic hemangioendothelioma and the adult form.
  • Infantile hemangiomas can cause life-threatening arteriovenous shunting and cardiac failure.
  • Adult hemangiomas are generally asymptomatic and benign.

Purpose of the Study:

  • To differentiate the clinical presentation and management strategies for infantile and adult hepatic hemangiomas.
  • To highlight the risks associated with diagnostic procedures in adult hepatic hemangiomas.

Main Methods:

  • Review of clinical characteristics and outcomes for both infantile and adult hepatic hemangiomas.
  • Analysis of treatment modalities for symptomatic infantile hemangiomas, including arterial ligation and embolization.

Related Experiment Videos

  • Evaluation of the risks versus benefits of diagnostic biopsy in adult hepatic hemangiomas.

    • Main Results:

    • Infantile hepatic hemangioendothelioma requires aggressive intervention (arterial ligation, embolization) if cardiac failure develops.
    • Adult hepatic hemangiomas rarely cause symptoms and typically do not require intervention.
    • Spontaneous rupture of adult hepatic hemangiomas is rare but can be fatal, often following needle biopsy.

    Conclusions:

    • Management of hepatic hemangiomas differs significantly based on patient age and lesion presentation.
    • Avoidance of needle biopsy is crucial in adult hepatic hemangiomas due to the risk of fatal rupture.
    • Symptomatic adult hepatic hemangiomas necessitate resection at specialized centers with low perioperative risks.