Authors: V. Třeška *; J. Ferda **; T. Skalický *; A. Sutnar *; V. Liška * Authors‘ workplace: Chirurgická klinika FN v Plzni, přednosta: prof. MUDr. V. Třeška, DrSc. *; Radiodiagnostická klinika FN v Plzni, přednosta: doc. MUDr. B. Kreuzberg, CSc. ** Published in: Rozhl. Chir., 2007, roč. 86, č. 1, s. 28-31. Category: Monothematic special - Original
Liver hemangiomas are benign mesenchymal tumors or the liver. The majority of them are asymptomatic, diagnosed accidentally during abdominal examination for other reasons. Ultrasonography, computer tomography and magnetic resonance are the main diagnostic instruments. Symptomatic, large cavernous hemangiomas or hemangiomas located on the liver surface with a risk of rupturing because of their size, are indicated for surgical management or radiointervetion. The authors present a patient group of 34 subjects with cavernous hemangiomas of the liver indicated for surgery (N = 25), or radiointervention (N = 9), based on the above critera. The thirty-day mortality rate was nil and morbididty 5.9%. The authors recommend enucleation of the hemangioma, which is technically simple and safe. From a long-term perspective, radiointervention is frequently poorly effective, and, therefore, should be indicated in polymorbid patients.
Key words: liver hemangioma – diagnostics – treatment
1. Gemer, O., Moscovici, O., Ben-Horin, C. I., Linov, L., Peled, R., Segal, S. Oral contraceptives and liver hemangioma: a case-control study. Acta Obstet Gynecol Scand, 2004, roč. 83, č. 5, s. 1199–1201.
2. Au, W. Y., Liu, C. L. Growth of giant hepatic hemangioma after triplet pregnancy. J. Hepatol., 2005, roč. 42, č. 5, s. 781–785.
3. Skalický, T., Třeška, V., Sutnar, A., Liška, V., Mírka, H., Ohlídalová, K., Ferda, J. Surgical treatment of benign liver tumors. Bratisl. Lék. Listy, 2005, roč. 106, č. 10, s. 330–332.
4. Kim, G. E., Thung, S. N., Tsui, W. M., Ferrell, L. D. Hepatic cavernous hemangioma: underrecognized associated histologic features. Liver Int., 2006, roč. 26, č. 3, s. 334–338.
5. Gungor, T., Aytan, H., Tapisiz, O. L., Zergeroglu, S. An unusual case of incidental rupture of liver hemangioma during labor. CMJ, 2004, roč. 117, č. 2,s. 311–313.
6. Herman, P., Costa, M. L., Machado, M. A., Pugliese, V., D‘Albuquerque, L. A., Machado, M. C., Gama-Rodrigues, J. J., Saad, W. A. Management of hepatic hemangiomas: a 14-aear experience. J. Gastrointest. Surg., 2005, roč. 9, č. 6, s. 853–859.
7. Fan, R. F., Chai, F. L., He, G. X., Wei, L. X., Li, R. Z., Wan, W. X., Bai, M. D., Zhu, W. K., Li, H. M., Yan, S. Z. Laparoscopic radiofrequency ablation of hepatic cavernous hemangioma. A preliminary experience with 27 patients. Surg. Endosc., 2006, roč. 20, č. 2, s. 281–285.
8. Corsale, I., Buccianelli, E., Rigutini, M., Mori, P., Bartolomei, M., Aloise, F., Sorce, S., Veltroni, A. Liver haemangioma: current surgical indications. Our experience. G. Chir., 2005, roč. 26, č. 4, s. 153–156.
9. Lanthaler, M., Freund, M., Nehoda, H. Laparoscopic resection of a giant liver hemangioma. J. Laparoendosc. Adv. Surg. Tech. A. 2005, roč. 15, č. 6, s. 624–626.
10. Patriti, A., Graziosi, L., Sanna, A., Gulla, N., Donini, A. Laparoscopic treatment of liver hemangioma. Surg. Laparosc. Endosc. Perscutan. Tech., 2005, roč. 15, č. 6 : 359–362.
11. Onaca, N., Mizrahi, S., Bar Nathan, N., Burstein, I., Mor, E. Liver transplantation after backtable resection of giant hemangioma. Liver Transpl., 2005, roč. 11, č. 7, s. 851–852.
Don‘t have an account? Create new account
Enter the email address that you registered with. We will send you instructions on how to set a new password.
