The primary indications for surgery were abdominal pain in 33 patients, diagnostic uncertainty in 6, and enlargement in 3. Retrospective cohort study. No other cause of pain could be identified during follow-up in the other patients. Control ultrasonography revealed no recurrences. Elective surgery is indicated in a small subset of patients with hemangiomas because of abdominal pain, enlargement, and diagnostic uncertainty.
Recurrences are rare.
Enucleation can be performed rapidly and safely in most patients and should be preferred to resection. Wang CH TI - Phase II study of gemcitabine in patients with advanced hepatocellular carcinoma. Twenty-eight patients with unresectable and nonembolizable HCC who had received no prior systemic chemotherapy and with objectively measurable tumors, adequate liver and renal function, and adequate bone marrow reserve were enrolled on this study. One course of treatment included three consecutive weekly infusions of gemcitabine and a 1-week rest. Treatment courses were repeated every 4 weeks for a total of six courses unless there was prior evidence of progressive disease.