Cavernous liver hemangioma

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A benign liver tumor



Cavernous Liver Hemangioma[edit | edit source]

Cavernous liver hemangioma as seen on imaging.

A cavernous liver hemangioma is a benign tumor of the liver composed of clusters of blood-filled cavities. It is the most common type of benign liver tumor and is often discovered incidentally during imaging studies for other conditions.

Pathophysiology[edit | edit source]

Cavernous liver hemangiomas are composed of large, dilated blood vessels. These vascular spaces are lined by a single layer of endothelial cells and are supported by a thin layer of fibrous tissue. The exact cause of cavernous liver hemangiomas is not well understood, but they are thought to be congenital in nature, arising from a malformation of blood vessels during embryonic development.

Clinical Presentation[edit | edit source]

Most individuals with cavernous liver hemangiomas are asymptomatic and the condition is often discovered incidentally. However, in some cases, patients may experience symptoms such as abdominal pain, nausea, or a feeling of fullness. Large hemangiomas can occasionally cause complications such as hemorrhage or thrombosis.

Diagnosis[edit | edit source]

Cavernous liver hemangiomas are typically diagnosed using imaging techniques such as ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI). These imaging modalities can reveal the characteristic appearance of hemangiomas, which often appear as well-defined, hyperechoic lesions on ultrasound or as hypervascular lesions on CT and MRI.

Management[edit | edit source]

In most cases, no treatment is necessary for cavernous liver hemangiomas, especially if they are asymptomatic. Regular monitoring with imaging may be recommended to ensure that the hemangioma does not grow or cause complications. In rare cases where the hemangioma is large or symptomatic, surgical intervention such as hepatectomy or embolization may be considered.

Prognosis[edit | edit source]

The prognosis for individuals with cavernous liver hemangiomas is generally excellent, as these tumors are benign and do not have malignant potential. Most patients live normal lives without any impact from the hemangioma.

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Contributors: Prab R. Tumpati, MD