肝脏占位病变，考虑血管瘤?

d****u

求有什么好的治疗方法。谢谢。现在肝脏功能正常，有小三阳。甲胎蛋白正常。

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u****a

一般无症状的小于5cm的肝脏血管瘤可以不用处理啊，大于5cm或者有压迫症状的最好方法是手术切除。

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j****l

In our institute, ifthe maximum diameter of hemangioma is larger than 5 cm，ortumor is growing rapidly (tumor gaining an enlargement of more than 1 cm within2 years), or the tumor is symptomatic (persistent hemangioma-related abdominalpain or discomfort with the definite exclusion of other gastrointestinaldiseases which cause the epigastric pain via gastroscopy examinations),we would suggest patients receiving the ablation procedure. If the diagnosis ofbenign hepatic hemangiom cannot be made by image examinations, the patientsare always in anxiety and with urgent desire for a certain pathologicaldiagnosis. A biopsy combining with ablation will be highly recommended.

p****1

你有肝炎病史，首先需要明确是肝血管瘤还是肝癌。有肝硬化，肝脏有占位，50%可能是肝癌。所以查个增强CT明确诊断。如果CT不能明确，就行穿刺活检明确。明确后决定治疗。

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