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What do my CT scan test results indicate?

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Posted on Fri, 13 May 2016
Question: Hello doctor...
I am 30 years old male. Six months back I was diagnosed with mild antral and corporal gastritis by endoscopy...had colonoscopy due to loose motion.. It was normal...lost lot of weight.. 10 kgs in six months...so doctor immediately asked me to get a CE CT scan and blood test with CEA and TSH...Blood test results were normal..
CT scan shows everything normal except SMALL HAEMANGIOMA( 1.1 cm by 1.1 cm) IN LIVER...
I am really worried though doctor told me its nothing...is it common? Or have they misdiagnosed liver cancer as heamangioma....I am worried too much...
doctor
Answered by Dr. Vivek Chail (32 minutes later)
Brief Answer:
Hemangioma in liver is always harmless

Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations bellow.

1. CT scan is a detailed investigation and hemangioma is given due to imaging characteristics. Its been called a hemangioma because on delayed phase the lesion probably shows density uniform to that of the surrounding liver. Such a lesion is considered as a typical hemangioma. Cancer will not show this type of enhancement pattern.

2. Hemangiomas are harmless benign lesions commonly seen in many people. You may need to repeat your ultrasound 6 monthly or yearly to make sure it isnt growing fast.

3. In my experience a 1.1 cm hemangioma is a small one and is due to an abnormal entanglement of blood vessels in the liver (much like any other birth mark over the skin). It is present from birth in most patients and in some people it can grow in size with time. In most patients it goes undetected and is usually found during routine investigation as in you. I would recommend an ultrasound every 6 months or yearly for few years to make sure it is not any thing else.

4. Most liver hemangiomas are small and asymptomatic at the time of diagnosis, and they are likely to remain that way. In one research study, an increase in hemangioma size was noted in only one of 47 patients who were rescanned 1-6 years after the initial diagnosis. There is no malignant transformation seen in hemangiomas and most liver hemangiomas may be left safely alone.

5. In conclusion, it is unlikely to be a cancer. Please get ultrasound scan done every 6 months for few years to make sure it is not growing in size and is stable.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (9 minutes later)
Thank very much for the clear reply Sir. In fact I didn't know what haemangioma was...the problem started here.. Instead of asking my doctor as I am out of my city, I googled it... I stumbled upon a website which told sometimes haemangioma can be confused with small size cancer..I immediately got into panic. Few mins after ct scan was done radiologist called me back and said he has a doubt and did ultrasound. I asked him why is he doing is it something to be worried.. He told don't worry there is no lesion...I forgot abt it but after reading I got fear..
doctor
Answered by Dr. Vivek Chail (5 minutes later)
Brief Answer:
Please send CT scan and ultrasound scan report if you want me to confirm

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. You dont have to fear. Please upload your CT scan and ultrasound scan reports if you want me to confirm about the liver hemangioma.

2. Hemangioma is a common condition and over 2 to 20 percent of people in some populations have hemangioma in liver.

3. For peace of mind you can get ultrasound done every 6 month for few years.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (7 minutes later)
Hello doctor..there is no ultrasound report. He did it for some confirmation. I am attaching the image of CT scan report.
doctor
Answered by Dr. Vivek Chail (6 minutes later)
Brief Answer:
Report shows features of hemangioma in CT scan

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. Your report clearly mentions that there is a 1.1 cm lesion in segment II of liver which shows delayed enhancement. This is how a hemangioma appears on CT scan. Please do not worry. You can get ultrasound scan done regularly every 6 months for few years to make sure it is not changing in appearance.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6786 Questions

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What do my CT scan test results indicate?

Brief Answer: Hemangioma in liver is always harmless Detailed Answer: Hi, Thanks for writing in to us. I have read through your query in detail. Please find my observations bellow. 1. CT scan is a detailed investigation and hemangioma is given due to imaging characteristics. Its been called a hemangioma because on delayed phase the lesion probably shows density uniform to that of the surrounding liver. Such a lesion is considered as a typical hemangioma. Cancer will not show this type of enhancement pattern. 2. Hemangiomas are harmless benign lesions commonly seen in many people. You may need to repeat your ultrasound 6 monthly or yearly to make sure it isnt growing fast. 3. In my experience a 1.1 cm hemangioma is a small one and is due to an abnormal entanglement of blood vessels in the liver (much like any other birth mark over the skin). It is present from birth in most patients and in some people it can grow in size with time. In most patients it goes undetected and is usually found during routine investigation as in you. I would recommend an ultrasound every 6 months or yearly for few years to make sure it is not any thing else. 4. Most liver hemangiomas are small and asymptomatic at the time of diagnosis, and they are likely to remain that way. In one research study, an increase in hemangioma size was noted in only one of 47 patients who were rescanned 1-6 years after the initial diagnosis. There is no malignant transformation seen in hemangiomas and most liver hemangiomas may be left safely alone. 5. In conclusion, it is unlikely to be a cancer. Please get ultrasound scan done every 6 months for few years to make sure it is not growing in size and is stable. Hope your query is answered. Please do write back if you have any doubts. Regards,