Hepatic hemangioma medical therapy: Difference between revisions
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*Whereas asymptomatic patients are followed up with periodic radiological examination.<ref name="pmidhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC301051">{{cite journal| author=Jones BE, Moore RY| title=Ascending projections of the locus coeruleus in the rat. II. Autoradiographic study. | journal=Brain Res | year= 1977 | volume= 127 | issue= 1 | pages= 25-53 | pmid=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC301051 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=301051 }} </ref> | *Whereas asymptomatic patients are followed up with periodic radiological examination.<ref name="pmidhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC301051">{{cite journal| author=Jones BE, Moore RY| title=Ascending projections of the locus coeruleus in the rat. II. Autoradiographic study. | journal=Brain Res | year= 1977 | volume= 127 | issue= 1 | pages= 25-53 | pmid=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC301051 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=301051 }} </ref> | ||
*Hemangiomas less than 10 cm should generally not be treated, even before a pregnancy. In case of a planned pregnancy and a size more than 10 cm, due to the risk of a possible rupture, a definitive treatment should be discussed.<ref name="EhrlRothaug2012">{{cite journal|last1=Ehrl|first1=Denis|last2=Rothaug|first2=Katharina|last3=Herzog|first3=Peter|last4=Hofer|first4=Bernhard|last5=Rau|first5=Horst-Günter|title=“Incidentaloma” of the Liver: Management of a Diagnostic and Therapeutic Dilemma|journal=HPB Surgery|volume=2012|year=2012|pages=1–14|issn=0894-8569|doi=10.1155/2012/891787}}</ref><ref name="Assy2009">{{cite journal|last1=Assy|first1=Nimer|title=Characteristics of common solid liver lesions and recommendations for diagnostic workup|journal=World Journal of Gastroenterology|volume=15|issue=26|year=2009|pages=3217|issn=1007-9327|doi=10.3748/wjg.15.3217}}</ref> | *Hemangiomas less than 10 cm should generally not be treated, even before a pregnancy. In case of a planned pregnancy and a size more than 10 cm, due to the risk of a possible rupture, a definitive treatment should be discussed.<ref name="EhrlRothaug2012">{{cite journal|last1=Ehrl|first1=Denis|last2=Rothaug|first2=Katharina|last3=Herzog|first3=Peter|last4=Hofer|first4=Bernhard|last5=Rau|first5=Horst-Günter|title=“Incidentaloma” of the Liver: Management of a Diagnostic and Therapeutic Dilemma|journal=HPB Surgery|volume=2012|year=2012|pages=1–14|issn=0894-8569|doi=10.1155/2012/891787}}</ref><ref name="Assy2009">{{cite journal|last1=Assy|first1=Nimer|title=Characteristics of common solid liver lesions and recommendations for diagnostic workup|journal=World Journal of Gastroenterology|volume=15|issue=26|year=2009|pages=3217|issn=1007-9327|doi=10.3748/wjg.15.3217}}</ref> | ||
*Conservative management is preferred for most of the patients.<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> | |||
*Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma 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|2}} | {{Reflist|2}} | ||
Revision as of 23:53, 9 November 2015
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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
Patients with small hemangiomas (less than 4 cm) are managed by observation, whereas asymptomatic patients are followed up with periodic radiological examination.[1]
Medical Therapy
- Patients with small hemangiomas (less than 4 cm) are managed by observation.
- Whereas asymptomatic patients are followed up with periodic radiological examination.[1]
- Hemangiomas less than 10 cm should generally not be treated, even before a pregnancy. In case of a planned pregnancy and a size more than 10 cm, due to the risk of a possible rupture, a definitive treatment should be discussed.[2][3]
- Conservative management is preferred for most of the patients.[4]
- Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma or when the size at the presentation is more than 15 cm.[5]
References
- ↑ 1.0 1.1 Jones BE, Moore RY (1977). "Ascending projections of the locus coeruleus in the rat. II. Autoradiographic study". Brain Res. 127 (1): 25–53. PMID http://www.ncbi.nlm.nih.gov/pmc/articles/PMC301051 Check
|pmid=value (help). - ↑ Ehrl, Denis; Rothaug, Katharina; Herzog, Peter; Hofer, Bernhard; Rau, Horst-Günter (2012). ""Incidentaloma" of the Liver: Management of a Diagnostic and Therapeutic Dilemma". HPB Surgery. 2012: 1–14. doi:10.1155/2012/891787. ISSN 0894-8569.
- ↑ Assy, Nimer (2009). "Characteristics of common solid liver lesions and recommendations for diagnostic workup". World Journal of Gastroenterology. 15 (26): 3217. doi:10.3748/wjg.15.3217. ISSN 1007-9327.
- ↑ "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.