Hemangioma of the liver

Hemangioma of the liver is a benign tumour of the liver, that may be mistaken for metastatic disease.

General

• Benign.
• Usually an incidental finding (incidentaloma) and often asymptomatic.
• Large lesions may present with upper abdominal pain.

Clinical:

• Do not grow in size - can be followed if small or medium size (<10 cm).

Gross

• Variable size.
• Well circumscribed.

Microscopic

Features:

• Channels lined by benign endothelium containing RBCs.

DDx:

• Epithelioid hemangioendothelioma.
• Angiosarcoma.
• Metastatic disease.

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Liver Lesion, Core Biopsy:
- Cavernous hemangioma.
- NEGATIVE for malignancy.

See also

• Hemangioma.