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What Is Meant By Fat Bearing Hematoma On Liver?
Question: My wife has been told she has a fat bearing hematoma on her liver caused by tangled blood vessels. Is this the same as a hemangioma on the liver, which comes up in most of my searches for such a thing, and can this be malignant?
Brief Answer:
Hemangioma is benign, to be confirmed on CT or MRI
Detailed Answer:
Hi XXXX,
Thanks for writing in.
I have read through your query in detail.
A hematoma is collection of blood, as you have done search on internet, I suppose the fat bearing hematoma caused by tangled blood vessels referred to in your query is the same as hemangioma. On ultrasound These are commonest benign tumors of the liver. They are categorized as small and giant hemangiomas based on their size.
A CT or MRI scan is very important to confirm hemangiomas. This is because of the characteristic uptake of contrast which is the signature on a hemangioma. Once confirmed, these do not require treatment unless they are causing symptoms due to size. It is never malignant and might be seen in 5 percent of the US population.
Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Hemangioma is benign, to be confirmed on CT or MRI
Detailed Answer:
Hi XXXX,
Thanks for writing in.
I have read through your query in detail.
A hematoma is collection of blood, as you have done search on internet, I suppose the fat bearing hematoma caused by tangled blood vessels referred to in your query is the same as hemangioma. On ultrasound These are commonest benign tumors of the liver. They are categorized as small and giant hemangiomas based on their size.
A CT or MRI scan is very important to confirm hemangiomas. This is because of the characteristic uptake of contrast which is the signature on a hemangioma. Once confirmed, these do not require treatment unless they are causing symptoms due to size. It is never malignant and might be seen in 5 percent of the US population.
Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Actually it was speculated that it was a hematoma. We are now awaiting confirmation based on the CT/MRI today. But what are the chances of it being something not benign? I mean, when talking about something like this on the liver, is it usually more likely to be something of less concern than a malignancy?
Brief Answer:
Usually benign, pls share ultrasound report
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Hematoma is a technical term used for collection of blood outside blood carrying channels. So it is not clear whether it is indeed some blood which has leaded and subsequently pooled and that is what your doctor says or if there is a tumor with rich blood supply.
If we are discussing hemangiomas in particular, it is the commonest benign tumor seen in adults. Though the exact number is difficult to figure out, such lesions are most likely benign and are usually followed up on imaging. A single well defined lesion of size less than 2 cm is most likely to be benign. I hope this is the answer you are looking for.
I would appreciate if you can share the ultrasound report with me so that I can understand the technical points and give you a better response.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Usually benign, pls share ultrasound report
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Hematoma is a technical term used for collection of blood outside blood carrying channels. So it is not clear whether it is indeed some blood which has leaded and subsequently pooled and that is what your doctor says or if there is a tumor with rich blood supply.
If we are discussing hemangiomas in particular, it is the commonest benign tumor seen in adults. Though the exact number is difficult to figure out, such lesions are most likely benign and are usually followed up on imaging. A single well defined lesion of size less than 2 cm is most likely to be benign. I hope this is the answer you are looking for.
I would appreciate if you can share the ultrasound report with me so that I can understand the technical points and give you a better response.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Unfortunately I cannot secure the ultrasound report and my wife does not want me looking into this anymore until the CT/MRI results come back (she doesn't know the exact ultrasound results other than the Tech "thought" it was a "fat bearing hematoma caused by tangled blood vessels.") In fact, she would be VERY angry if she knew I was writing to you. Of course I am extremely frightened until we get the CT/MRI results. She seems to have no symptoms related to cancer of the liver (at least that I have read about.) She went in for constant heartburn, and has some back pain, but she has always had a bad back.
I know you cannot speculate much more, but if an Ultrasound Tech said that, and she has no liver cancer symptoms, isn't it more likely to be a hematoma? The waiting is killing me. We have young children and this woman is also my life. I want to thank you for helping me through this the best you could.
XXXXXXX
I know you cannot speculate much more, but if an Ultrasound Tech said that, and she has no liver cancer symptoms, isn't it more likely to be a hematoma? The waiting is killing me. We have young children and this woman is also my life. I want to thank you for helping me through this the best you could.
XXXXXXX
Brief Answer:
Lets hope for benign
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
In your situation, I would have done as you. I suggest we be optimistic of the CT findings and look forward to a hemangioma which is completely harmless.
Please do update me if you feel it necessary.
Regards,
Dr.Vivek
Lets hope for benign
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
In your situation, I would have done as you. I suggest we be optimistic of the CT findings and look forward to a hemangioma which is completely harmless.
Please do update me if you feel it necessary.
Regards,
Dr.Vivek
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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