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Dr. Andrew Rynne

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Suggest treatment for liver hemangioma

Answered by
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Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2245 Questions

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Posted on Fri, 23 Oct 2015 in Liver and Gall Bladder
Question: I was recently diagnosed with what they say is consistent with a liver hemangioma. The exam was done on a CT unit with and with out contrast.5.1x5.1 CM. what is next?
doctor
Answered by Dr. Klerida Shehu 2 hours later
Brief Answer:
please follow the suggestions below..

Detailed Answer:
Hi and thank you for asking.
I read carefully all your concerns and I understood your query.

1.You have been diagnosed with liver hemangioma 5.1x5.1 cm. Hemangiomas larger than 5 cm as in your case are called giant hemangioma.

I would like to have more of your medical data like :
- do you have any other symptoms like abdominal pain?
- do you have any chronic disease?
- Can you send me Ct report so I can check by myself the hemangioma location.

2.I would suggest you surgical treatment for your hemangioma only if you have other symptoms like abdominal pain.

On the other hand if you don't have abdominal pain you may follow up periodically every 6 months with abdominal ultrasound to check for hemangioma growth.

3.Hemangioma is a benign tumor so there is nothing to be worried regarding it's prognosis.

Hope it is helpful to you!

Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Klerida Shehu 2 hours later
PATIENT: CT ABDOMEN / PELVIS W/WO
CONTRAST
____________________________________________________________________________
_______

Impression:

Large 5.1 x 5.1 cm right hepatic lobe hemangioma. Additional smaller more
inferior right hepatic lobe hemangioma up to 1.3 cm.

Prostatomegaly up to 4.3 cm.
____________________________________________________________________________
__

Exam: CT abdomen and pelvis with and without contrast

Indication: Hemangioma, abnormality seen on ultrasound

Radiation dose: CTDI volume: 91 DLP: 4143

Comparison: Ultrasound 05/18/2015.

Findings:

Small pleural calcification along the medial aspect of the inferior right
lower lobe. Visualized inferior mediastinum is unremarkable.

Within the inferior right hepatic lobe is a lesion hypoattenuating to
hepatic parenchyma on the noncontrast phase, measuring up to 5.1 x 5.1 cm,
demonstrating progressive peripheral nodular enhancement progressing
centripetally on the portal venous and delayed phases, consistent with a
hemangioma. A second smaller hemangioma is identified within the more
inferior right hepatic lobe (axial image 55), measuring 1.3 cm.

No biliary ductal dilatation. Gallbladder unremarkable.

Pancreas, spleen, adrenals, kidneys unremarkable.

Bowel is unremarkable. Appendix is unremarkable.

No enlarged intra-abdominal nodes.

No free fluid.

Prostate is enlarged measuring up to 4.3 cm with few coarse calcifications.

Small fat containing bilateral inguinal hernias.

The small sclerotic lesion within the L1 vertebral body may represent a
small hemangioma versus bone island. Moderate osteoarthritic changes at the
right from our acetabular joint.
____________________________________________________________________________
_

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doctor
Answered by Dr. Klerida Shehu 19 hours later
Brief Answer:
Please follow the suggestions below...

Detailed Answer:
Hi back,
I read carefully all your Ct report.

Your large hemangioma is located at inferior right lobe. It can be managed with surgery because it is not near large vessels of the liver.

Otherwise, to my opinion since you don't have any other symptoms and the hemangioma size is near 5 cm in diameter than you can follow up with CT for further growth.

If hemangioma will increase its size or you will experience right abdominal pain, then you should discuss with surgeon about surgery.

Wish you good health.
Dr. Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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