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Why Is A Benign Tumor Growing Gradually And Is An Angio Embolization Necessary?

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Posted on Thu, 5 Oct 2023
Question: As this is a benign tumor then why does it grow slowly? benign means it will not grow again right? And doctor has recommended angio embolization.
doctor
Answered by Dr. Manuel C See IV (4 hours later)
Brief Answer:
hemangiomas are benign rare tumors of the bladder.

Detailed Answer:
Your brother has hemangiomas of the bladder. This is a benign tumor that may recur and cause blood in the urine. Whats good is that it is slowly growing and doesnt spread to other organs.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Manuel C See IV (7 hours later)
what if doctor unable to find artery or vein they are looking for?
doctor
Answered by Dr. Manuel C See IV (1 minute later)
Brief Answer:
I agree with angioembolization.

Detailed Answer:
Benign meaning it will still grow but slowly. Bemigneaning it would not spread to other organs and cause problems.

Angioembolization may work because it would cut off the feeding vessel of the hemangioma and it would close the abnormal veins (the hemangioma).
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Manuel C See IV (14 hours later)
Hi Dr XXXXXXX

What if the Dr could find the vein which is feeding the vessel ?
doctor
Answered by Dr. Manuel C See IV (10 hours later)
Brief Answer:
There is a small chance that embolization would be unsuccessful.

Detailed Answer:
Thank you for your follow up question.
There is a small chance that the Interventional Radiologist wouldnt be able to find or localize the feeding vessel. In medicine there is no 100% and i would take my chances with embolization since it is minimally invasive. IF the embolization would fail then for me personally I would recommend surgical removal of part of the bladder (partial cystectomy).
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Manuel C See IV (14 hours later)
Hello Dr XXXXXXX

Our Dr told us that new channel can be made after few years is that right ? And if it does will that mass will come again ?
3rd question if they block the vessel that mass will be killed but how can it be removed from the wall ?
doctor
Answered by Dr. Manuel C See IV (11 minutes later)
Brief Answer:
Yes may recur.

Detailed Answer:
Hemangiomas are basically blood vessels that clumped up forming a mass. If you block the feeding vessel or the connection of the network of blood vessels (the hemangioma) to the main blood supply line then the hemangioma would be empty of blood and would collapse on it own. But the abnormal vessels are still there but just devoid of blood. So the hemangioma would still be there but would significantly shrink.

Hemangiomas are recurring benign masses and there is no way to predict when and where it would recur. There is also no proven way to prevent it's recurrence.

Yes if new vessels find it's way back to the blood supply then the hemangioma may recur.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Manuel C See IV (14 hours later)
Hi Dr XXXXXXX

Thanks for the brief explanation but is there a permanent cure for the hemangioma ? or for those abnormal vessels ? for time begin they will do this procedure but what will be the permanent cure for this ?


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Hi Dr XXXXXXX

Thank you for the brief detail , partial cystectomy means removing complete bladder ? Is there no any medicine which can cure this problem ? and what about diet ?
doctor
Answered by Dr. Manuel C See IV (3 hours later)
Brief Answer:
Surgery would be the definitive management.

Detailed Answer:
The permanent solution would be doing surgery partial cystectomy. Removing part of the bladder that is involved with hemangioma. The drawback is since the hemangioma is large then your bladder might end up with a very small bladder and he would suffer urinary frequency but eventually the bladder would expand bigger.

Personally I would give the embolization a try first then if it recurs then surgery would be your last and final option.



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Brief Answer:
Only part of the bladder.

Detailed Answer:
Partial cystectomy means removing only part of the bladder that is inflicted with hemangioma and not the whole.bladder.

No medicine has been proven to remove or prevent recurrence of hemangiomas. No proven diet also.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Manuel C See IV

Urologist

Practicing since :2005

Answered : 909 Questions

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Why Is A Benign Tumor Growing Gradually And Is An Angio Embolization Necessary?

Brief Answer: hemangiomas are benign rare tumors of the bladder. Detailed Answer: Your brother has hemangiomas of the bladder. This is a benign tumor that may recur and cause blood in the urine. Whats good is that it is slowly growing and doesnt spread to other organs.