Giant cavernous hemangioma of the liver Radiology of the Surgeon Chirurgie et radiologie Case 13. The centre of the mass remains hypodense and reflects areas of necrosis and thrombus. Cavernous hemangiomas are the most common benign liver tumours. These congenital lesions are more common in women and have been known to increase dramatically in size with pregnancy and the presence of exogenous estrogens.
Observation is adequate for most hemangiomas.
Hepatic resection is reserved for symptomatic lesions and those causing complications. Bilobar hemangiomas causing severe liver failure have been treated with liver transplantation. Orthotopic liver transplantation in a patient with a giant cavernous hemangioma of the liver and Kasabach Merritt syndrome. Starzl TE, Koep LJ, Weil R 3d, Fennell RH, Iwatsuki S, Kano T, et al. Excisional treatment of cavernous hemangioma of the liver.