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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Abdomen, Back Pain, Liver Cysts, Echogenic Lesion, Hemangioma With A Differential Diagnosis. Help

My mame is Alicja I am a woman 50 years old - I do not drink alcohol and do not smoke cigarettes - more than a month I have pain around the right side of the abdomen under the ribs and radiating pain that fastens to the back, Often Pain That wakes me up very early in the morning - and lasts during the day - with varying degrees of intensity, in the painful area also feels the heat   - A blood test showed alt-69, gamma-GT - 105 the liver - 1.8cm cysts - in right lobe and 0.8 cm - in left lobe, left hepatic lobe in is a uniformly echogenic lesion with acoustic enhancement posteroir consistent with a hemangioma measuring 1.5 cm. right hepatic lobe anteriorly there is another uniformly echogenic lesion measuring 1.5cm Likely Representing well as hemangioma with a differential diagnosis of focal fatty infiltration.
Sat, 30 Mar 2013
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General Surgeon 's  Response
Hi and welcome to HCM.
You obviously have symptomatic liver haemangioma. This is one of the most common liver "tumors". It is immposible to be 100% sure that this is haemangioma considering ultrasound only,but it is good that some more serious liver malignancies are ruled out.
Haemangiomas cause problems when become large enough so it can press surrounding structures or liver casule. Usually it happens when it measure more than 5cm but even smaller cysts can do it as well.
So consult your surgeon about modalty of treatment and do further tests to exlude other liver lesions.
Wish you good health.
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General Surgeon Dr. Hari Charan Perigela's  Response
Hi
Haemangioma is one of the commonest benign condition of the liver.
Liver function tests are not much elevated.So,nothing to worry.
The pain may be of musculo skeletal pain.
Please take muscle relaxant and Rabeprazole tablets.
Wish you good health.
Regards
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Painful Abdomen, Back Pain, Liver Cysts, Echogenic Lesion, Hemangioma With A Differential Diagnosis. Help

Hi and welcome to HCM. You obviously have symptomatic liver haemangioma. This is one of the most common liver tumors . It is immposible to be 100% sure that this is haemangioma considering ultrasound only,but it is good that some more serious liver malignancies are ruled out. Haemangiomas cause problems when become large enough so it can press surrounding structures or liver casule. Usually it happens when it measure more than 5cm but even smaller cysts can do it as well. So consult your surgeon about modalty of treatment and do further tests to exlude other liver lesions. Wish you good health.