Hepatic hemangioma

He hepatic hemangioma kahi ate i hana ʻia i nā kīʻaha koko i hoʻonui ʻia (dilated). ʻAʻole ia he maʻi ʻaʻai.

ʻO ka hemangioma hepatic ka ʻano maʻamau o ka nui o ka ate i kumu ʻole ʻia e ka maʻi ʻaʻai. He kīnā hānau paha ia.

Hiki i nā Hepatic hemangiomas ke hana i kēlā me kēia manawa. Kūleʻa lākou i ka poʻe ma 30 a 50 paha mau makahiki. Loaʻa nā wahine i kēia mau lehulehu ma mua o nā kāne. ʻOi aku ka nui o ka nui i ka nui.

Hiki i nā pēpē ke hoʻomohala i kahi ʻano hemangioma hepatic i kapa ʻia ʻo hemangioendothelioma pēpē pēpē. ʻIke ʻia kēia e like me multinodular hepatic hemangiomatosis. ʻO kēia kahi tumo laha ʻole, noncancerous i hoʻopili ʻia i nā helu kiʻekiʻe o ka puʻuwai puʻuwai a me ka make ʻana i nā pēpē. Hoʻomaopopo pinepine ʻia nā pēpē e ka manawa o 6 mau makahiki.

Hiki i kekahi hemangiomas ke kumu i ke kahe ʻana a i ʻole keakea ʻana i ka hana a ka meaola. ʻAʻole hana ka hapanui i nā ʻōuli. I nā hihia kakaikahi, e haki paha ka hemangioma.

I ka hapanui o nā hihia, ʻaʻole i loaʻa ke ʻano a hiki i ke kiʻi ʻia ʻana o nā kiʻi akepaʻa no kekahi kumu ʻē aʻe. Inā haki ka hemangioma, ʻo ka hōʻailona wale nō ke hoʻonui ʻia o ke ake.

ʻO nā pēpē me hemangioendothelioma pēpē maikaʻi e loaʻa iā:

• ʻO ka ulu ʻana i ka ʻōpū
• Anemia
• Nā hōʻailona o ka puʻuwai puʻuwai

E hana ʻia paha kēia mau hoʻāʻo:

• Nā hoʻāʻo koko
• CT scan o ke ake
• Hepatic angiogram
• MRI
• Hoʻololi ʻia kahi kiʻi paʻi hoʻokahi-photon (SPECT)
• Ultrasound o ka ʻōpū

ʻO ka hapa nui o kēia mau tumors e mālama ʻia inā loaʻa ka ʻeha mau.

ʻO ka mālama ʻana no ka hemangioendothelioma pēpē e pili ana i ka ulu a me ka ulu ʻana o ke keiki. Pono paha kēia mau ʻano lawelawe aʻe:

• Hoʻokomo i kahi mea i loko o kahi kīʻaha koko o ke ake e ālai iā ia (embolization)
• Kālele ʻia (ligation) kahi aʻa ate
• Nā lāʻau no ka maikaʻi ʻole o ka naʻau
• ʻOki kino e wehe i ka hikoko

Hiki i ke kīpoki ke hoʻōla i kahi tumo i loko o kahi pēpē inā aia wale ia i hoʻokahi ʻula o ke ake. Hiki ke hana i kēia inā loaʻa ka puʻuwai puʻuwai o ke keiki.

Hiki i nā lāʻau hāpai a me ka lāʻau estrogen ke kumu e ulu ai kēia mau tumors.

Hiki paha i ka tumo ke haki i nā hihia kakaikahi.

Liver hemangioma; Hemangioma o ke akepaʻa; Cavernous hepatic hemangioma; Hemangioendothelioma infantile; Hemangomatosis hepatic multinodular

• Hemangioma - angiogram
• Hemangioma - CT scan
• Nā ʻōnaehana ʻōnaehana Digestive

Di Bisceglie AM, Befeler AS. ʻO nā tumatic Hepatic a me nā cista. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 96.

Mendes BC, Tollefson MM, Bower TC. Nā kūpuna vascular Pediatric. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 188.

ʻO Soares KC, Pawlik TM. ʻO ka mālama ʻana i ka hemangioma o ke ake. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 349-354.