“It was the first time in my life that I did a general physical examination, and only then did I know that there was a large hemangioma in the liver.”

Ms. Meng, who is in her 40s, can’t help but sigh that a year ago, Ms. Meng suffered a series of family changes. First, her sister was found to have colorectal cancer. Although it was found in the middle stage, her sister was worried about the problem of excision and tried conservative methods. After treatment, he developed brain and lung metastases in less than a year. Although he regretted it at the time, he was powerless.

Then, shortly after the death of his sister, his father, who had never had a physical examination, was found to have advanced gastric cancer, and then he underwent treatment. Although the effect was not bad, the disease was like a sharp sword hanging over his head, and he was afraid that one day his father would get sick. .

Her father has a family history of gastric cancer. In view of these diseases in the family, Ms. Meng decided to have a physical examination, and she also thought it was an opportunity for herself. First of all, she considered a painless gastroscopy, but the first inspection item was not. It’s an abdominal ultrasound.

The first time I did a check-up, I found a large tumor on the liver.

During the abdominal ultrasound, Ms. Meng felt uneasy. The two doctors who examined first expressed surprise, then began to whisper, and then stayed on her upper right abdomen for a long time, and asked her to change positions several times in a row. Repeated twice.

Just when Ms. Meng was still thinking about it, one of the doctors told her that she had better go to the hepatobiliary department of the hospital immediately. At that time, Ms. Meng said that she was a little broken, and she didn’t even remember how she went to the liver and gallbladder. Ko, she thinks she has cancer.

The doctor in the hepatobiliary department checked the scan carefully, and then called the laboratory. At this time, he told her: A large tumor has been found in your liver. At present, it should be benign. It may be a hemangioma. It may be necessary to For the recent surgery, you can also choose other hospitals, try not to delay for a long time. Ms. Meng had no concept of hemangioma, but the doctor’s calm expression reassured her, and then she asked the doctor if it would affect other examinations? The doctor suggested that she should consider hospitalization, so that she could have a comprehensive understanding of her problem.

About 70% of the liver was removed, and the health recovered well

Ms. Meng’s husband accompanied her to complete the hospitalization, and further CT examination confirmed the previous diagnosis. It was a very large hemangioma. The evaluation was about 17-18 cm. Because it was benign, the doctor considered that it could be removed or not. If If you do not remove it, you need to follow up regularly to see if there is any change. Ms. Meng was hesitant at first and was afraid of surgery, but then she thought that if she didn’t remove it, it might grow bigger in the future, and now the child is still young, and she often hugs her. If she accidentally hits the location of the hemangioma, will it rupture? Possibly, after discussing with her husband, Ms. Meng decided to surgically remove it.

The doctor expressed confidence that although Ms. Meng’s situation is a rare case, there is no need to worry too much about the development of surgical techniques.

In addition, due to Ms. Meng’s working hours, the operation was scheduled to be performed half a year later. The right lobe of the liver, the gallbladder and a part of the left liver were mainly removed. The removed hemangioma actually exceeded 20 cm. To remove this large hemangioma, the wound was also very large. In the first few days after the operation, Ms. Meng suffered severe pain. In her words, it was more painful than childbirth.

Because, at that time, Ms. Meng’s mother had to take care of her cancer-stricken father, and her husband needed to work and take care of the children. Ms. Meng could only take care of herself more. After the pain after the operation, she began to follow the doctor’s advice to get out of bed and move around. , gradually recovered, and finally discharged safely.

At the time, the doctor thought that Ms. Meng’s removed liver was relatively large, and they were worried about liver failure, but Ms. Meng’s quick recovery made them gradually relieved.

How does it feel to have 70% of the liver removed?

When asked this question, Ms. Meng recalled: At first, she felt that her right abdominal cavity was collapsed and empty, but after a while, she felt that the organs in the abdominal cavity would adjust themselves and gradually returned to their normal positions.

Before the excision, sometimes when she took a deep breath, she would feel that the inhalation was a little hard, as if she was stuck in the abdomen; Ms. Meng often felt breathless when she was pregnant, and the abdominal cavity was swollen after giving birth. Postpartum obesity, when wearing tights to lose weight, the feeling of squeezing is more uncomfortable. The most obvious was years of unexplained bloating, which disappeared after surgery. She believes that these symptoms may be related to an oversized hemangioma.

When the operation was completed, the doctor showed the excised hemangioma to Ms. Meng’s husband. He told Ms. Meng that the hemangioma was bigger than her face! But her husband left behind a sequelae, that is, he will never eat pork liver again, and Ms. Meng smiled knowingly.

Regular checkups are important

Through this operation, Ms. Meng said that she does not have chronic hepatitis, and she has few diseases at ordinary times. Small problems can be solved by taking medicine at home. If it hadn’t been for the whole body physical examination this time, she would not have known that she had so much hidden in her body. of hemangioma. Of course, she also saw some small problems in other examinations, such as small nodules in the lungs, but the doctor thought there was no problem, and only needed a low-dose CT examination every year.

Her own feeling is that she must not do physical examinations because she is in good health. She hopes that her experience can help many people like her, early detection and early treatment.

Large hepatic hemangioma, surgery requires evaluation of various issues

In fact, regarding Ms. Meng’s question, it is medically believed that hepatic hemangioma is the most common benign tumor of the liver, which is formed by the abnormal proliferation of blood vessels in the liver. At present, the cause of the disease is not clear, but it can be confirmed that the hepatic blood vessels Tumors do not turn into liver cancer.

The size of hepatic hemangioma is also different. Currently, it can range from 0.5 cm to 20 cm from a clinical point of view. Generally, it is less than 5 cm. Only very few will grow to more than 10 cm. Ms. Meng’s hemangioma is even rarer.

Most hemangiomas are asymptomatic, and most patients are discovered during physical examination or imaging studies. Generally, small hepatic hemangioma is not very dangerous, as long as there are no symptoms, regular observation is fine; but if the hemangioma is large, it may compress nearby organs and cause discomfort such as abdominal pain and abdominal distension; the risk of rupture of hepatic hemangioma It is also relatively small. Unless it just grows on the surface of the liver and is very large, or it is hit by trauma, there is no need to worry too much about it breaking.

If there are no other complications, regular inspection of hepatic hemangioma is sufficient. It is recommended to check every three months at the beginning. After several inspections, the hemangioma feels relatively stable, and regular inspections can be considered every six months to one year. For at least three years of continuous inspection is relatively reassuring.

Once the hemangioma is too large or close to the surface of the liver, causing pain or compressing nearby organs, if other diseases and problems can be ruled out, surgical resection can also be considered, but relevant exclusion tests must be done before surgery.