Is it important to find hepatic hemangioma during physical examination?

Most cases of liver hemangioma discovered during physical examination are not serious and belong to benign tumors with slow growth. Hepatic hemangioma may be related to congenital vascular dysplasia, elevated estrogen levels, and other factors. It usually has no obvious symptoms, and in rare cases, abdominal pain or compression symptoms may occur. When the diameter of a hepatic hemangioma is less than 5 centimeters and there are no discomfort symptoms, special treatment is usually not necessary. Regular follow-up ultrasound or CT scans are sufficient. Most hepatic hemangiomas grow very slowly and even remain stable for life, without affecting liver function or malignant transformation. Avoid vigorous exercise and trauma that may impact the liver area in daily life, and reduce excessive intake of estrogen containing drugs or foods. If the diameter of the hemangioma exceeds 5 centimeters or if there are persistent compression symptoms such as upper right abdominal pain and fullness, embolization or surgical resection may be necessary. Pregnant women may experience short-term enlargement of vascular tumors due to hormonal changes, and monitoring should be strengthened. When imaging examination shows irregular tumor margins and abnormal blood flow signals, further differential diagnosis is needed to exclude malignant tumors.

It is recommended to have ultrasound monitoring of vascular tumor changes every 6-12 months and avoid taking blood activating traditional Chinese medicine on your own. Maintain a regular schedule and balanced diet, limit alcohol intake, and engage in moderate aerobic exercise to enhance liver metabolic function. If rapid tumor growth or new symptoms are found during re examination, timely diagnosis and evaluation should be sought at the Department of Hepatobiliary Surgery.