Hepatic hemangioma: Difference between revisions

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{{Infobox_Disease |
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  Name          = {{PAGENAME}} |
{{Hepatic hemangioma}}
  Image          = Heptatic hemangioma 005.jpg|
  Caption        = Heptatic hemangioma. <br> [http://www.radswiki.net Image courtesy of RadsWiki]|
  DiseasesDB    = |
  ICD10          = |
  ICD9          = |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = |
  eMedicineSubj  = |
  eMedicineTopic = |
  MeshID        = |
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{{SI}}
{{CMG}}


'''Contributors:'''  [[User:zorkun|Cafer Zorkun]] M.D., PhD.
'''For patient information, click [[Hepatocellular hemangioma (patient information)|here]]'''


{{Editor Help}}
{{CMG}}; {{AE}}  [[User:zorkun|Cafer Zorkun]] M.D., PhD., {{NM}}


==Overview==
{{SK}} Liver hemangioma; Hemangioma of the liver; Cavernous hepatic hemangioma; Typical hepatic hemangioma; Atypical hepatic hemangioma; Giant hepatic hemangioma; Flash filling hepatic hemangioma; Slow fill hepatic hemangioma; Calcified hepatic hemangioma; Hyalinised hepatic hemangioma; Sclerosed hepatic hemangioma; Pedunculated hepatic hemangioma; Cystic hepatic hemangioma; Hepatocyte hemangioma; Hepatocellular hemangioma


* Most common primary liver tumor
==[[Hepatic hemangioma overview|Overview]]==
* Ranges from 0.4-20% of the population
* Arise from the endothelial cells that line the blood vessels and consists of multiple, large vascular channels lined by a single layer of endothelial cells and supported by collagenous walls.
* They are frequently asymptomatic and incidentally discovered at imaging, surgery, or autopsy.
* They may be associated with [[focal nodular hyperplasia]].
* M:F = 1:5
* May be associated with [[Kasabach-Merritt syndrome]]: [[Hemolytic anemia]] and consumptive coagulopathy


==Diagnosis==
==[[Hepatic hemangioma historical perspective|Historical perspective]]==
 
==[[Hepatic hemangioma classification|Classification]]==


===Ultrasonography===
==[[Hepatic hemangioma pathophysiology|Pathophysiology]]==


* Echogenic
==[[Hepatic hemangioma causes|Causes]]==
* Homogenous


===Computed Tomography===
==[[Hepatic hemangioma differential diagnosis|Differentiating Hepatic Hemangioma from other Diseases]]==


* Noncontrast: Hypointense to liver
==[[Hepatic hemangioma epidemiology and demographics|Epidemiology and Demographics]]==
* Portal venous enhancement: Peripheral nodular enhancement
* Delayed enhancement: Lesion fills in the contrast


===MRI===
==[[Hepatic hemangioma risk factors|Risk Factors]]==


* T2 hyperintense
==[[Hepatic hemangioma screening|Screening]]==
* Portal venous enhancement: Peripheral nodular enhancement
* Delayed enhancement: Lesion fills in the contrast


===Scintigraphy===
==[[Hepatic hemangioma natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


* Tc99-labeled red blood cells show decreased activity on early dynamic images and increased activity on delayed images (i.e. 1-2 hours).
==Diagnosis==
* Only sensitive for larger lesions.


==Diagnostic Findings==
[[Hepatic hemangioma history and symptoms|History and Symptoms]] | [[Hepatic hemangioma physical examination|Physical Examination]] | [[Hepatic hemangioma laboratory findings|Laboratory Findings]] | [[Hepatic hemangioma CT|CT]] | [[Hepatic hemangioma MRI|MRI]] | [[Hepatic hemangioma echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Hepatic hemangioma other imaging findings|Other Imaging Findings]] | [[Hepatic hemangioma other diagnostic studies|Other Diagnostic Studies]]


[http://www.radswiki.net Images courtesy of RadsWiki]
==Treatment==


<gallery perRow="3">
[[Hepatic hemangioma medical therapy|Medical Therapy]] | [[Hepatic hemangioma surgery|Surgery]] | [[Hepatic hemangioma prevention|Prevention]] | [[Hepatic hemangioma cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Hepatic hemangioma future or investigational therapies|Future or Investigational Therapies]]
Image:Heptatic hemangioma 001.jpg|T2 FrFSE
Image:Heptatic hemangioma 002.jpg|T1
Image:Heptatic hemangioma 003.jpg|T1 post Gad
Image:Heptatic hemangioma 004.jpg|T1 post Gad
Image:Heptatic hemangioma 005.jpg|T1 post Gad
Image:Heptatic hemangioma 006.jpg|T1 post Gad coronal
</gallery>


==References==
==Case Studies==
{{Refbegin|2}}
[[Hepatic hemangioma case study one|Case #1]]


{{refend}}
==Related Chapters==


*[[Infantile hemangioendothelioma]]


{{Gastroenterology}}
{{Gastroenterology}}
{{SIB}}   
 


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[[Category:Gastroenterology]]
 
[[Category:Hepatology]]
[[Category:Oncology]]
[[Category:Surgery]]
[[Category:Disease]]


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Latest revision as of 01:56, 27 November 2017

Hepatic hemangioma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hepatic Hemangioma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Hepatic hemangioma On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hepatic hemangioma

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hepatic hemangioma

CDC on Hepatic hemangioma

Hepatic hemangioma in the news

Blogs on Hepatic hemangioma

Directions to Hospitals Treating Hepatic hemangioma

Risk calculators and risk factors for Hepatic hemangioma

For patient information, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun M.D., PhD., Nawal Muazam M.D.[2]

Synonyms and keywords: Liver hemangioma; Hemangioma of the liver; Cavernous hepatic hemangioma; Typical hepatic hemangioma; Atypical hepatic hemangioma; Giant hepatic hemangioma; Flash filling hepatic hemangioma; Slow fill hepatic hemangioma; Calcified hepatic hemangioma; Hyalinised hepatic hemangioma; Sclerosed hepatic hemangioma; Pedunculated hepatic hemangioma; Cystic hepatic hemangioma; Hepatocyte hemangioma; Hepatocellular hemangioma

Overview

Historical perspective

Classification

Pathophysiology

Causes

Differentiating Hepatic Hemangioma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

Template:Gastroenterology


Template:WikiDoc Sources