Family physical examination found hepatic hemangioma and hepatic cyst. I'm anxious. Is it dangerous? How to treat it?

Hepatic hemangioma is a benign tumor of the liver. Cavernous hemangioma of liver is the most common. Cavernous hemangioma is generally single, mostly located in the right lobe of the liver; About 10% is multiple and can be distributed in one lobe or both sides of the liver. Hemangiomas present as dark red and blue-purple cystic protuberances in the liver. Foliate or nodular, soft and compressible, and most of them are clearly demarcated from adjacent tissues. Patients generally have no conscious symptoms. The cause of hemangioma formation is unknown. Some people think that it is caused by abnormal development of hepatic vascular structure, while others think it is related to estrogen level. This disease is more common in middle-aged women, and the incidence rate of women is six times that of men. Because this disease has no obvious symptoms, it is only a space-occupying lesion in the liver, so it should be differentiated from liver cancer in clinic.

[Edit this paragraph] Classification of diseases

(1) Cavernous hemangioma: Its cross section is honeycomb-shaped and full of blood. Microscopic examination showed cystic blood sinuses of different sizes, filled with red blood cells, and sometimes thrombosis. There are fibrous septa between blood sinuses, and small blood vessels and bile ducts can be seen in the fibrous septa, and occasionally compressed hepatocyte cords can be seen. Calcification or venous calculus can be seen in the thrombus in fibrous septum and blood sinus.

(2) Sclerosing hemangioma, with closed vascular lumen and multiple degenerative changes in fibrous septa.

(3) Hemangioendothelioma, the proliferation of vascular endothelial cells is active, which is easy to cause malignant transformation.

(4) Hepatic capillary hemangioma with narrow vascular lumen and many fibrous septa.

Hepatic hemangioma (TCM name: liver abscess) is a common benign tumor of the liver. The small ones can be asymptomatic, and the big ones will have symptoms such as loss of appetite, belching and hypochondriac pain. Western medicine advocates surgical resection or radiotherapy, hepatic artery ligation, etc. Many patients are afraid of surgery and seek Chinese medicine treatment. This disease belongs to the category of traditional Chinese medicine. Many ancient Chinese medicine books think that it is an internal injury of seven emotions, which leads to stagnation of liver qi, stagnation of qi and blood stasis, and blood accumulation for a long time, which becomes an abdominal mass.

The etiology of this disease is mostly qi stagnation and blood stasis, or due to improper diet, spleen deficiency and dampness, phlegm and blood stasis, and blood gas accumulation. The treatment of this disease mainly adopts the methods of activating qi and soothing the liver, promoting blood circulation and removing blood stasis, softening and resolving hard mass, but the emphasis of qi stagnation and blood stasis should be distinguished in specific treatment. If blood stasis is dominant, use the following drugs: antelope bone, buffalo horn, bezoar and red peony root to clear away heat and cool blood and relieve pain; Bupleurum, Huangpi nucleus, Su Qingzhen, etc. Regulate qi and relieve depression; Salvia miltiorrhiza and safflower promote blood circulation and remove blood stasis; Stir-fried turtle shell, spina gleditsiae, Sichuan foot softening and resolving hard mass, dredging channels and activating collaterals. If qi stagnation is the main factor, the following drugs should be used: Bupleurum, Curcuma longa, Radix Astragali, Su Qingzhen, etc. Mixing with Saviae Miltiorrhizae Radix, Carthami Flos, Rhizoma Sparganii, Rhizoma Curcumae and Radix et Rhizoma Rhei to promote blood circulation and remove blood stasis; Stir-fried pangolin, Gleditsia sinensis, Chuanzu Ruan Jian San Jie, dredging collaterals and relieving pain. Combined with oral "Xiong Dan Pill" and "Danhuodur Therapy", the curative effect is better. Epistaxis syndrome is different from the general symptoms of qi stagnation and blood stasis, which often accumulates over time, and the method of activating qi and activating blood circulation can be effective. Therefore, in the selection of drugs, the compatibility of activating qi and promoting blood circulation with fried pangolin, Gleditsia sinensis and Radix Aconiti can not only soften hard mass, but also dredge collaterals and relieve pain, with unique curative effect.