Abstract
Liver hemangiomas are the most common benign tumors of the liver. Liver hemangiomas usually do not need any treatment.
Nevertheless symptomatic, giant giant hemangiomas can be indicated for surgery, emboliaztion or thermoablation. The aim of this study was to define based on our own experience and on the literature when and what Treatment option should be indicated in patients suffering from liver hemangioma.
Conservative approach is can be applied in most liver hemangiomas, especially in small, asymptomatic lesions. Liver surgery is indicated in giant symptomatic or growing hemangiomas with the diameter over 10cm, or in non-specific lesions where the preoperative diagnosis is uncertain.
TAE is indicated in high-risk patients and can be repeated if the hemangioma progresses. The use of other methods such as RFA needs to be verified in large clinical studies.