Early 20 perecent of the u. S. Population. Benign lesions of the liver are correspondingly increasing as the use of diagnostic imaging increases. â benign lesions include cystic tumors such as simple cysts, cystadenomas and echinococcal cysts. â benign solid lesions include hepatic adenomas, focal nodular hyperplasia and hemangiomas. Hepatic hemangiomas (liver hemangioma) hepatic hemangiomas are the most common benign solid lesions of the liver. These lesions are usually found in middle-aged women. They are most commonly located in the subcapsular area of the right lobe and measure less than 5 cm. If larger, they may cause non-specific abdominal pain as a result of tumor expansion, hemorrhage or localized thrombosis. Although there are case reports of spontaneous and traumatic rupture of hemangiomas, hemorrhage is uncommon. Rarely, giant hemangiomas may have thrombocytopenia, disseminated intravascular coagulopathy, bleeding and abdominal pain. Hemangiomas are usually solitary but 5 to 10 percentâ of patients have multiple lesions. These can often be followed conservatively, i. E. No treatment. Surgical treatment should be considered only for patients who are symptomatic or to definitively rule out cancer. floridalighttacklecharters.com/thq-secure-canadian-pharmacy-online-cheap-viagra-iq/ viagra for sale cheap generic viagra cheap generic viagra howtosmudge.com/pjn-viagra-buying-di/ buy viagra online viagra for sale http://classicmotocrossimages.com/mbs-where-can-i-buy-viagra-locally-without-a-prescription-tl/ buy cheap viagra generic viagra online
Enucleation or resection of the hemangioma is the operative procedure of choice. Hepatic adenoma hepatic adenomas (ha) occur mostly in 20 to 40 year old premenopausal women on oral contraceptives. These lesions have a 25 percent risk of rupture of bleeding. Patients commonly present with abdominal pain. The association with oral contraceptives was established in the 70â€™s and it has become well known that ha are associated with estrogen and progesterone. â understandably, ha have a tendency to grow and rupture during pregnancy, and the risks to the mother and fetus are extremely high. Surgical resection is the preferred form of treatment for ha because of the risks of rupture, bleeding and malignant transformation. Although there have been anecdotal reports of complete resolution of small ha following the cessation of oral contraceptives, resection is still favored if they persist. Liver cysts asymptomatic simple cysts may be followed routinely and often require no treatment. Surgical treatment is recommended for cysts that are symptomatic as in causing problems with digestion, dyspepsia etc. â percutaneous aspiration has a 100 percent recurrence rate and is performed only to secure a diagnosis or as a therapeutic test. The current recommended therapy is laparoscopic unroofing of the cyst. Cystadenomas are most commonly found in the liver parenchyma and less often in the extrahepatic biliary ducts. The pathogenesis is unclear and may be congenital in origin from abnormal bile ducts or from aberrant germ cells. â the disease tends to occur in females 30.