Size of lesion is not a criterion for resection during management of giant liver haemangioma

T. Terkivatan, W. W. Vrijland, P. T. Den Hoed, R. A. De Man, S. M. Hussain, H. W. Tilanus, J. N.M. IJzermans

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Abstract

Background: The unknown natural history and risk of complications of large haemangiomas may pose therapeutic dilemmas. The authors describe their experience with the management of giant haemangiomas. Methods: Patients with a giant haemangioma were identified by a survey of the hospital database. Forty-nine patients with a haemangioma of at least 4 cm in diameter presented between January 1990 and December 2000. Medical records were analysed retrospectively. Results: Eleven patients had surgical treatment and 38 were managed conservatively. The median diameter of the tumours was 8.0 cm in surgically treated patients and 6.0 cm in the group managed by observation. Surgery-related morbidity occurred in three patients, and abdominal complaints persisted in three of ten patients with a symptomatic lesion. During a median follow-up of 52 months, 12 non-operated patients had mild abdominal complaints, considered to be unrelated to the lesion. In these patients symptoms either diminished or became minimal during follow-up. Complications did not occur. Conclusion: Observation of giant haemangiomas can be performed safely. The authors advocate resection of cavernous liver haemangiomas only in patients with persistent severe symptoms.

Original languageEnglish (US)
Pages (from-to)1240-1244
Number of pages5
JournalBritish Journal of Surgery
Volume89
Issue number10
DOIs
StatePublished - Dec 1 2002

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Hemangioma
Liver
Observation
Cavernous Hemangioma
Natural History
Medical Records
Databases
Morbidity
Therapeutics

ASJC Scopus subject areas

  • Surgery

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Terkivatan, T., Vrijland, W. W., Den Hoed, P. T., De Man, R. A., Hussain, S. M., Tilanus, H. W., & IJzermans, J. N. M. (2002). Size of lesion is not a criterion for resection during management of giant liver haemangioma. British Journal of Surgery, 89(10), 1240-1244. https://doi.org/10.1046/j.1365-2168.2002.02219.x

Size of lesion is not a criterion for resection during management of giant liver haemangioma. / Terkivatan, T.; Vrijland, W. W.; Den Hoed, P. T.; De Man, R. A.; Hussain, S. M.; Tilanus, H. W.; IJzermans, J. N.M.

In: British Journal of Surgery, Vol. 89, No. 10, 01.12.2002, p. 1240-1244.

Research output: Contribution to journalArticle

Terkivatan, T, Vrijland, WW, Den Hoed, PT, De Man, RA, Hussain, SM, Tilanus, HW & IJzermans, JNM 2002, 'Size of lesion is not a criterion for resection during management of giant liver haemangioma', British Journal of Surgery, vol. 89, no. 10, pp. 1240-1244. https://doi.org/10.1046/j.1365-2168.2002.02219.x
Terkivatan T, Vrijland WW, Den Hoed PT, De Man RA, Hussain SM, Tilanus HW et al. Size of lesion is not a criterion for resection during management of giant liver haemangioma. British Journal of Surgery. 2002 Dec 1;89(10):1240-1244. https://doi.org/10.1046/j.1365-2168.2002.02219.x
Terkivatan, T. ; Vrijland, W. W. ; Den Hoed, P. T. ; De Man, R. A. ; Hussain, S. M. ; Tilanus, H. W. ; IJzermans, J. N.M. / Size of lesion is not a criterion for resection during management of giant liver haemangioma. In: British Journal of Surgery. 2002 ; Vol. 89, No. 10. pp. 1240-1244.
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