Hobbs K E
Academic Department of Surgery, Royal Free Hospital School of Medicine, London, England, United Kingdom.
World J Surg. 1990 Jul-Aug;14(4):468-71. doi: 10.1007/BF01658669.
There are 2 main and different forms of hepatic hemangiomas--those of early childhood and those of later adult life. The former, called infantile hepatic hemangioendothelioma, may be life-threatening due to arteriovenous shunting in extensive lesions resulting in cardiac failure. Although they may resolve spontaneously, if cardiac failure develops, they must be treated aggressively by arterial ligation or embolization. The adult form rarely gives rise to symptoms and should be left alone. Spontaneous rupture is extremely rare but may follow needle biopsy and it is in this group of patients that the occasional death has been reported. Biopsy should, therefore, be avoided. Symptomatic lesions should be resected in a specialized center where the morbidity and mortality of liver resection is acceptably very low.
肝血管瘤主要有两种不同的类型——儿童期的和成年后期的。前者称为婴儿型肝血管内皮瘤，广泛病变中的动静脉分流可能导致心力衰竭，从而危及生命。尽管它们可能会自行消退，但如果发生心力衰竭，必须通过动脉结扎或栓塞进行积极治疗。成人型很少引起症状，无需处理。自发破裂极为罕见，但可能发生在针吸活检后，据报道，这组患者偶尔会有死亡情况。因此，应避免活检。有症状的病变应在肝切除发病率和死亡率极低且可接受的专业中心进行切除。
