Liver hemangiomas are the most common benign hepatic lesions. When a hemangioma is typical in imaging appearance, stable over time, and causes no symptoms, clinical management hinges on whether active intervention is actually warranted.
A typical liver hemangioma that is stable and asymptomatic — the key question is whether any active treatment is required, or whether a non-interventional approach is justified by the evidence.
For the majority of patients with a typical presentation, a conservative, non-interventional approach forms the basis of management. The complete structured protocol — including criteria, follow-up, and the conditions under which this approach applies — is detailed in the full regimen.
DOI: 10.14309/ajg.0000000000002857
For the majority of patients, a conservative approach is appropriate.
Conservative management is appropriate for typical cases (evidence level II-2, grade of recommendation 1).
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