Diagnosis and management of massive hepatic hemangiomas in childhood.

摘要: Twelve patients diagnosed as having hepatic hemangiomas during 1960 to 1982 at the Royal Children's Hospital, Melbourne are reviewed. This rare benign vascular tumor can present considerable problems in both diagnosis and management has a high reported mortality. Our experience over this 23-year period demonstrates some of difficulties suggests plan management. Eight were when five weeks age or less, youngest was 24 hours old. One four months age. In remaining three patients, made postmortem. Ten had prominent hepatomegaly, nine congestive cardiac failure one these onset delayed weeks. Thrombocytopenia jaundice patients. Four associated cutaneous visceral hemangiomas. Seven underwent selective arteriography, two prior ultrasound examinations liver. Management included steroids, radiotherapy, resection, patient, artery ligation. patient with diffuse did not require any specific therapy resolved spontaneously years. The whom resection performed survived.