Document Detail


Indications for surgery in the treatment of hepatic hemangioma.
MedLine Citation:
PMID:  8714238     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: Hepatic hemangiomas are controversial tumors, especially as far as treatment is concerned. This paper analyses a series of 26 cavernous hemangiomas of the liver diagnosed between 1982 and 1993.
MATERIALS AND METHODS: A descriptive study is made of cases, their treatment and subsequent follow-up averaging 5 years.
RESULTS: A preoperative diagnosis was made in 18 patients. Fifteen of the 26 patients underwent operation, and no deaths occurred. One patient with Kasabach-Merritt syndrome (3.8%) had complications due to rupture of the hemangioma. Postoperative complications were limited to two abscesses (13%). There were no recurrences in the follow-up (average 4.4 years). Three of the 15 surgery patients revealed residual hemangiomas. There were no complications in the 11 non-surgery patients (five of which had giant hemangiomas) during a follow-up averaging 5.9 years. One patient initially without pain and with a hemangioma of 7.4 cm became symptomatic, and the hemangioma grew to 9.6 cm; another patient with pain became asymptomatic, with no change in hemangioma size.
CONCLUSION: Most hemangiomas can be managed conservatively. Indication for surgery should be assessed in units with experience in liver surgery, where low morbidity and mortality rates can justify the intervention.
Authors:
A Moreno Egea; M Del Pozo Rodriguez; M Vicente Cantero; J Abellan Atenza
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  43     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-09-20     Completed Date:  1996-09-20     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  GREECE    
Other Details:
Languages:  eng     Pagination:  422-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Hemangioma, Cavernous / diagnosis,  surgery*
Humans
Liver Neoplasms / diagnosis,  surgery*
Male
Middle Aged
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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