Hepatic hemangioma surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Elective surgical resection is recommended | Elective surgical resection is recommended when patients are sympatomatic or when the hemangioma size > 5 cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | ||
==Surgery== | ==Surgery== | ||
*Elective surgical resection is recommended among patients who develop:<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | |||
:*Hepatic hemangioma size > 5 cm, OR | |||
* | :*Progressive [[abdominal pain]] | ||
:* | *Surgery is usually reserved for patients with:<ref name="Jr2010">{{cite journal|last1=Jr|first1=Marcelo AF Ribeiro|title=Spontaneous rupture of hepatic hemangiomas: A review of the literature|journal=World Journal of Hepatology|volume=2|issue=12|year=2010|pages=428|issn=1948-5182|doi=10.4254/wjh.v2.i12.428}}</ref> | ||
:* | :* Spontaneous rupture | ||
: | :* [[Hemoperitoneum|Traumatic rupture with hemoperitonium]] | ||
:* Intratumoral bleeding | |||
:* Consumptive coagulopathy ([[Kasabach-Merritt syndrome]]) | |||
*Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma.<ref>{{cite journal|title=Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options|journal=Abdomen|year=2015|issn=23781351|doi=10.14800/abdomen.908}}</ref> | |||
*Or when the size at the presentation is more than 15 cm.<ref>{{cite journal|title=Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options|journal=Abdomen|year=2015|issn=23781351|doi=10.14800/abdomen.908}}</ref> | |||
==References== | ==References== | ||
{{Reflist| | {{Reflist|2}} | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
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[[Category:Needs overview]] | [[Category:Needs overview]] | ||
[[Category:needs content]] | [[Category:needs content]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
[[Category:Hepatology]] | |||
Latest revision as of 01:57, 27 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]
Overview
Elective surgical resection is recommended when patients are sympatomatic or when the hemangioma size > 5 cm.[1]
Surgery
- Elective surgical resection is recommended among patients who develop:[1]
- Hepatic hemangioma size > 5 cm, OR
- Progressive abdominal pain
- Surgery is usually reserved for patients with:[2]
- Spontaneous rupture
- Traumatic rupture with hemoperitonium
- Intratumoral bleeding
- Consumptive coagulopathy (Kasabach-Merritt syndrome)
- Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma.[3]
- Or when the size at the presentation is more than 15 cm.[4]
References
- ↑ 1.0 1.1 Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ; et al. (2007). "Management of liver hemangiomas according to size and symptoms". J Gastroenterol Hepatol. 22 (11): 1953–8. doi:10.1111/j.1440-1746.2006.04794.x. PMID 17914976.
- ↑ Jr, Marcelo AF Ribeiro (2010). "Spontaneous rupture of hepatic hemangiomas: A review of the literature". World Journal of Hepatology. 2 (12): 428. doi:10.4254/wjh.v2.i12.428. ISSN 1948-5182.
- ↑ "Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options". Abdomen. 2015. doi:10.14800/abdomen.908. ISSN 2378-1351.
- ↑ "Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options". Abdomen. 2015. doi:10.14800/abdomen.908. ISSN 2378-1351.