Trastek V F, van Heerden J A, Sheedy P F, Adson M A
Am J Surg. 1983 Jan;145(1):49-53. doi: 10.1016/0002-9610(83)90165-4.
Surgical decisions regarding cavernous hemangioma of the liver require consideration of the natural history of the lesion. To provide background, we retrospectively evaluated 49 cases of such hemangiomas exceeding 4 cm in diameter. There were 36 female patients (including 4 infants) and 13 males. Their ages ranged from 1 month to 68 years and averaged 44 years. Surgical procedures that ranged from simple excision to hepatic lobectomy were performed on 13 patients. Four had postoperative complications. There were no surgical deaths or any late deaths attributable to hemangioma. The other 36 patients have been observed for up to 15 years (mean 5.5 years) without the need for surgery. None of the patients in this group died, and none has experienced intraperitoneal hemorrhage or intensification of symptoms, although the size of four lesions increased. The benign course should be considered when deciding on management of lesions that are asymptomatic or so large as to pose significant operative risk.
关于肝脏海绵状血管瘤的手术决策需要考虑病变的自然病程。为提供背景信息，我们回顾性评估了49例直径超过4厘米的此类血管瘤病例。其中女性患者36例（包括4例婴儿），男性13例。他们的年龄从1个月至68岁不等，平均年龄为44岁。13例患者接受了从单纯切除到肝叶切除术不等的外科手术。4例出现术后并发症。没有手术死亡病例，也没有因血管瘤导致的任何晚期死亡病例。其余36例患者已被观察长达15年（平均5.5年），无需手术。该组患者均未死亡，也没有患者发生腹腔内出血或症状加重，尽管有4个病变的大小有所增加。对于无症状或体积过大以至于手术风险显著的病变，在决定治疗方案时应考虑其良性病程。
