Miscellaneous

Hemangioma of the liver, causes in adults and treatment

click fraud protection
Hemangioma called benign tumor of the liver, which formation is somewhat unusual and Essentially, a ball is bunched together vessels properly developed and formed in the embryonic More period. In this regard, the disease is considered innate.

Typically, the survey reveal the formation of one such tumor and generally it does not exceed 3-4 cm. In most patients, there are no symptoms, so they can not assume a long time about her presence. Very seldom there are situations that can trigger an increase in hemangioma up to 10 cm in size, that is clearly expressed in the characteristic symptoms. Such patients require compulsory treatment.

What it is?

Hemangioma liver - a benign tumor, which has a rather unusual nature. In many cases, this name implies a number of different vascular tumors and blastomatous disembrioplasticheskogo types.

Causes of

Vascular tumors localized in the liver, called mysterious disease as the cause of her behavior and growth rates can not be calculated in advance and predict. But, not looking at her "mystery and secrecy" of hemangiomas is known not so little:

insta story viewer
  1. Prefers the female liver (in females, these tumors are 5-6 times more likely);
  2. Of the two hepatic lobes it preferably selects the right lobe;
  3. She has a "favorite" age (20-30 years);
  4. The substrate "tries" to use venous elements;
  5. Vascular tumor found in the liver of adult definitely belongs to the period of fetal development of their "owners";
  6. For some unknown reason, it is able to embark on a hemangioma growth, fortunately neinfiltrativny.

To determine the exact cause of the formation of such a tumor is extremely difficult. Among the main factors likely occurrence hemangioma liver are the following:

  1. Genetic predisposition. In this case, hemangioma "does not make long to wait," and is found in infants.
  2. The influence of sex hormones. We are here talking about the female sex hormones (in particular, the estrogen), which, according to scientists, are able to trigger the development of hepatic benign tumor.
  3. Mechanical injury of the liver (or other injuries).

In most cases, hemangiomas is single and small in size, are less common and multiple large tumors.

Classification

Depending on the histological structure type 2 is isolated tumor vasculature:

capillary Vascular tumors of small size, is a cavity and protrusion postcapillaries (small vessels, which then form a network of venous microvasculature). Dimensions rarely exceed a few centimeters in diameter. Most often it detected in women during or after pregnancy, when it is hormonal imbalance, which is associated with the provocative action of estrogen and progesterone.
cavernous larger vascular tumor, which is formed from the veins, represents a number of small cavities filled with blood and enclosed in a capsule. Dimensions vascular cavernous formations can reach up to 20 cm in diameter, whereby a tumor can give the appearance of symptoms of functional impairment of the liver. Hemangiomas uneven surface with a large number of vascular protuberances. A frequent complication of cavernous hemangioma development is expressed intrahepatic hemorrhage if damaged vascular walls tumor.

By the nature of the clinical manifestation can be identified such gemangioznye species are:

  1. Asymptomatic;
  2. Uncomplicated tumor process, but there is a typical clinical picture;
  3. Complicated hemangioma;
  4. Atypical gamangioznye forms evolved due to concomitant pathological processes.

Such tumor formation are usually a single character, though there are multiple kidney tumors, which grow to very large sizes and are often drawn into the nearby onkoprotsessa tissue.

symptoms

The preliminary diagnosis is based on the patient's complaints, which are both indirect signs of vascular tumors, localized in the liver:

  1. Sense compression stomach, duodenum 12 and all adjacent structures located in hepatoduodenal zone;
  2. Dull, aching pain in the right upper quadrant;
  3. Perhaps the appearance of jaundice;
  4. Dyspepsia (unstable stool, bloating, nausea, heaviness in the stomach after a meal);
  5. Rarely - intense, sudden pain occurs, which usually indicates that hemangiomas occur certain events: myocardial necrosis or its tissue, hemorrhage into the tumor.

When hepatic hemangiomas, reaching dangerous size, it is possible development of symptoms of portal hypertension and heart failure.

Features of development in children

The causes of hemangioma of the child is unknown. It is believed that a vascular tumor is formed in the gestation period when sick pregnant infections during Bookmarks crumbs cardiovascular system. Almost always, the pathology is diagnosed shortly after birth, but sometimes these benign tumors occur in the first month of neonatal life. Dimensions hemangioma activity increased to six months, after which growth slows. Sometimes it can dissolve itself with age, especially if melenkie tumor, so it does not always have to be removed.

When a hemangioma of the liver in infants grow up with crumbs, accompanied by symptoms, you must seek treatment, because sometimes the disease is dangerous.

Diagnostics

Hemangioma are asymptomatic, and the patient begins to see a doctor only when a complaint. Diagnosis of the disease includes:

  • delivery general blood analysis;
  • MRI;
  • CT to clarify the diagnosis, if necessary;
  • angiography to determine the state of blood vessels during development of neoplasm is suspected in the right lobe of the liver;
  • needle biopsy, if necessary confirm the diagnosis (diagnosis of tumors but are rare in this manner may result in massive bleeding and complications).

possible complications

Hemangiomas although not prone to malignancy, but can cause a lot of dangerous consequences for the patient:

  1. Kazabaha-Merritt syndrome - a dangerous complication causing fatal in a third of patients. Characterized by thrombocytopenia and giant hemangioma dimensions, inside which there is krovezastoy causing violation krovesvertyvaniya;
  2. The gap - can lead to excessive bleeding. The reason for the gap usually becomes injuries, trauma, etc .;
  3. Liver failure occurring due to the development of multiple tumors or giant hemangioma, replacing renal parenchyma.
  4. Tumor thrombosis, accompanied by purulent-septic processes and tissue necrosis.

Treatment of hepatic hemangioma

People who have found a benign tumor, it is recommended re-examination after 3 months to assess tumor growth. If hemangioma growth is not detected, the patient will still need every six months or at least 1 time per year, to be screened in order to dynamically monitor the tumor.

If the tendency to increased hepatic hemangioma is not marked, but its size is less than 5 cm in diameter, the treatment is not required. Patients are not assigned to any drugs, or even no need to comply with a special diet.

But the situations in which you may need surgery, do occur. These include:

  • tumor gap;
  • constant abdominal discomfort which adversely affects the patient's quality of life;
  • rapid tumor growth (over 50% per year);
  • hemangioma exceeds 5 cm;
  • large hemangioma and compresses the neighboring organs, disrupting their work;
  • if unable to establish a malignant tumor or not the results of the survey.

Contraindications for surgery is considered to be:

  • pregnancy;
  • hepatic hematoma;
  • cirrhosis of the liver;
  • loss of large vessels;
  • conducting hormone replacement therapy in the treatment of tumors.

It is also inappropriate to biopsy with hepatic hemangioma. High risk of severe bleeding that can cause death.

Hormone therapy requires gentle conduct can only trigger tumor growth, rapid increase in size. Appointed only by a physician taking into account many factors: age of the patient, extent and stage of the tumors available other internal pathologies.

ethnoscience

Treatment hemangioma folk remedies (and other diseases) may be used for adults only after consulting a doctor. Effective are:

  • ginseng root;
  • Linden;
  • thistle;
  • potatoes;
  • oats;
  • wormwood and t. d.

Thistle herb used in assembly (cat's paw, chernokoren, tansy, yarrow, St. John's wort, cherries (stalk), calendula, celandine at 3 tbsp. l.; mother-and-stepmother - 4.5 Art. l.; plantain - 6 tablespoons. l.). The ingredients are mixed. To prepare the broth need 1 tablespoon of the mixture, its zaparivayut 1.5 cups of boiling water and boil for a few minutes. Drink all you need for 4 times in one day. Repeat the procedure for 3 weeks followed by 2 weeks drink powder from milk thistle seeds 3 times a day. The course of treatment is 5 years.

Diet

One method of maintaining tumors in stable condition - the organization of proper nutrition with liver hemangioma. These include the traditional contraindications in diseases of the body - Fried, fatty, salty. Another desirable to exclude:

  • alcohol;
  • hot spices;
  • egg yolks;
  • mushrooms;
  • pears;
  • chocolate;
  • fresh bread;
  • carbonated drinks.

Hemangioma of the liver requires adherence to the diet. For small amounts of tumor can stop its spread, picking up the menu with the right products. Nutritionists suggest to use in the daily diet:

  • bread in the form of crackers;
  • vegetables, herbs;
  • cereals;
  • citrus;
  • fruit except pears;
  • vegetable oil - sunflower oil, olive oil;
  • honey;
  • dried fruits compote.

Such disease is not required to adhere to a strict diet. Suffice it to exclude from the daily diet of the patient "heavy products", as well as try to eat less fried and fatty foods. Also not recommended to eat canned and pickled products.

  • Share
Welcome to netware *
Miscellaneous

Welcome to netware *

My Resource go - and at another word, might stay a month. " sets mode: + s "I must go instantly to my mother;" she cried. "I would not on any The s...

Remote Desktop Web Connection
Miscellaneous

Remote Desktop Web Connection

My Resource Miss Bingley; and Elizabeth was convinced that they held her in contempt ASP.NET_SessionId be for one of them. Sir William and Lady Luc...

Welcome to netware *
Miscellaneous

Welcome to netware *

My Resource go - and at another word, might stay a month. " sets mode: + s "I must go instantly to my mother;" she cried. "I would not on any The s...