Sponge nevus
. This disease is mainly caused by abnormal vascular development during embryonic development. It is the most common benign liver tumor, accounting for 42-45% of benign liver tumors. The disease can occur at any age, but the symptoms often appear after middle age, and there is no significant difference between men and women. It is generally believed that the occurrence of this disease is related to endocrine factors. Because hepatic hemangioma is one of the common benign liver tumors, there are two situations in human growth: most of them grow slowly.
Even to a certain extent, it will stop growing. Clinically, it is generally below a single diameter of 5Cm. As long as it doesn't grow, it generally won't cause any serious problems to the body. Therefore, it is generally not recommended to treat small hepatic hemangioma without any discomfort in clinic, but we must be careful not to do strenuous exercise in daily life to avoid violent collision with the liver. Only a small part of hepatic hemangioma suddenly grows out at a certain age. Because hemangioma oppresses the liver and other organs when it grows up, it causes clinical symptoms. This situation must be dealt with. As can be seen from the above, small hemangioma is asymptomatic, while large hemangioma often has symptoms of oppression such as distension and pain, such as anorexia, belching, nausea, vomiting, indigestion and other symptoms caused by oppression of the gastrointestinal tract. The complications of hepatic hemangioma are: (1) rupture of hepatic hemangioma: it can cause acute abdomen or internal bleeding. (2) Thrombocytopenia and low fibrinogen: A few patients are often accompanied by disorder of coagulation mechanism. (3) Hepatomegaly: Hemangiomas will cause hepatomegaly when they grow up. (4) Hepatic cyst: About 10% patients may be complicated with hepatic cyst. What netizens are most concerned about is how to distinguish liver cancer from hepatic hemangioma. B-ultrasound can find liver tumors.
However, liver cancer and hepatic hemangioma are almost indistinguishable. The resolution of enhanced CT is about 92%, which means that about 8% of hemangioma can't be distinguished, which has to attract people's attention. Over the past year or so, this website has received consultations from 9 patients, all of whom are newly diagnosed as hepatic hemangioma and diagnosed as liver cancer within 50 days to 3 years. In fact, there are two situations: some are really hemangioma at first, and then liver cancer appears; The other part is misdiagnosis. Then, how to determine whether to misdiagnose after the diagnosis of hepatic hemangioma is the most concerned problem for patients with hepatic hemangioma. Tell me my humble opinion. (1) must be diagnosed by enhanced CT. If CT is still diagnosed as hemangioma, the following diagnosis can be made. (2) If the patient has liver cirrhosis, hepatitis B and AFP positive at the same time, it is more likely to be liver cancer, so we must pay close attention to it. (3) Most liver cancers grow rapidly, which can be doubled or even doubled within one month. Even a few cases with slow growth will increase by more than 30% within one month, while hepatic hemangioma grows slowly, and most hepatic hemangioma will not increase in volume within one year. Therefore, after the patient is diagnosed with hepatic hemangioma, he should still actively carry out self-examination within one year. General review can be arranged as follows (B-ultrasound can be used for review): A: After A:30 days, the hemangioma should remain unchanged after the first review; If there is any one of liver cirrhosis, hepatitis B and AFP positive, it should be reviewed every 20 days; Check it three times in a row, and then check it again as follows. B: 60 days after the first reexamination, the hemangioma should remain unchanged for the second reexamination; C: Then check it every three months and check it three times in a row. If the hemangioma still does not change, check it once a year. So, how should hepatic hemangioma be treated? In fact, the author is a patient with hepatic hemangioma, but he has not been treated so far. Why? In fact, if the hemangioma of the liver no longer grows and there are no symptoms now, I think it is better not to treat it, because the most effective treatment is surgery, but if it is harmless to the body, why do you have to operate? As for traditional Chinese medicine, to be honest, it is not an easy task to eliminate hepatic hemangioma with traditional Chinese medicine, which requires long-term and large-scale administration of drugs that soften hard masses, clear away heat and toxic materials, and promote blood circulation and remove blood stasis. The fact that "drugs have three poisons" tells me why we should take these "poisons" for a long time if there are no serious problems. The tumor elimination rate of traditional Chinese medicine treatment is not high. Of course, for those patients who continue to grow and cause diseases, the best treatment is still surgery.