Hepatic Hemangiomas Questions & Answers

Updated: Aug 11, 2021
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Questions & Answers

Overview

What are hepatic hemangiomas?

What is the pathophysiology of hepatic hemangiomas?

What is the prevalence of hepatic hemangiomas in the US?

Which patient groups have the highest prevalence of hepatic hemangiomas?

What is the prognosis of hepatic hemangiomas?

What are the possible complications of hepatic hemangiomas?

Presentation

Which clinical history findings are characteristic of hepatic hemangiomas?

What are the clinical features of hepatic hemangiomas?

Which physical findings are characteristic of hepatic hemangiomas?

DDX

Which conditions should be considered in the differential diagnoses of hepatic hemangiomas?

Workup

What is the role of lab testing in the workup of hepatic hemangiomas?

Which imaging studies are performed in the workup of hepatic hemangiomas?

What is the role of ultrasonography in the workup of hepatic hemangiomas?

What is the role of a CT scan in the workup of hepatic hemangiomas?

What is the role of an MRI scan in the diagnosis of hepatic hemangiomas?

What is the role of nuclear imaging in the workup of hepatic hemangiomas?

What is the role of arteriography in the workup of hepatic hemangiomas?

Which imaging modalities are the most sensitive for the diagnosis of hepatic hemangiomas?

How is hepatic angiosarcoma differentiated from hepatic hemangiomas on imaging?

Which imaging modality is most accurate for assessing hepatic hemangiomas less than 2 cm?

What is the role of liver biopsy in the workup of hepatic hemangiomas?

Which histologic findings are characteristic of hepatic hemangiomas?

Treatment

How are hepatic hemangiomas treated?

What is the role of radiologic studies in treatment monitoring of hepatic hemangiomas?

What is the role of kinase inhibitors in the treatment of hepatic hemangiomas?

What is the role of surgery in the treatment of hepatic hemangiomas?

How are large hepatic hemangiomas treated?

What is the role of surgical resection in the treatment of hepatic hemangiomas?

What is the role of arterial embolization in the treatment of hepatic hemangiomas?

What is the role of surgical ligation in the treatment of hepatic hemangiomas?

What is the role of radiofrequency ablation in the treatment of hepatic hemangiomas?

What is the role of hepatic irradiation in the treatment of hepatic hemangiomas?

What is the role of liver transplantation in the treatment of hepatic hemangiomas?

Which dietary and activity modifications are used in the treatment of hepatic hemangiomas?

Medications

What is the role of medications in the treatment of hepatic hemangiomas?