Treatment of Liver Hemangioma in Kasabach-Merritt Syndrome, Giant or Growing Hepatic Haemangioma, or Symptomatic Compression
Clinical Scenario
This protocol addresses hepatic haemangioma presenting in one of the following high-risk situations: Kasabach-Merritt syndrome, a giant hepatic haemangioma, a growing hepatic haemangioma, or a haemangioma causing symptoms through compression of adjacent structures.
These presentations are uncommon. Affected individuals should be referred to a benign liver tumour multidisciplinary team for evaluation and management planning.
Treatment Approach
In select complicated or unresectable cases, a major surgical procedure targeting the liver itself may be considered as part of management. The full protocol specifies the clinical criteria, patient selection pathway, and decision algorithm.
Complete eligibility criteria, clinical decision steps, and the full management pathway are available in the structured protocol below.
References
DOI: 10.14309/ajg.0000000000002857
- Symptomatic or giant haemangiomas are not common and affected individuals should be referred to a benign liver tumour MDT.
- In the presence of Kasabach-Merrit syndrome, growing lesions or lesions symptomatic by compression - refer to benign liver tumour MDT (evidence level III, grade of recommendation 1)
- Rarely, for complicated, large or extensive unresectable tumours, liver transplantation may be indicated.
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