A 53 year old woman with a history of a messencymal tumor of the thigh presented with hepatomegally.
Histology demonstrates an overgrowth of enlarged endothelial lined vascular spaces.
While almost always asymptomatic, these tumors have been associated with abdominal pain, fullness, and belching. Complications are similarly rare, but have included bleeding, infarction, necrosis, and thrombocytopenia. The clinical importance of these incidentally discovered tumors relates to distinguishing them from malignancies. Ultrasonography The classic finding of hemangioma on US is that of a well defined, echogenic mass. However, this appearance can also be seen in adenomas, hepatocellular carcinomas, and metastatic disease.