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. 2022 Feb 11;5(1):pbac006. doi: 10.1093/pcmedi/pbac006

Table 1.

Three different types of hepatic hemangiomas.

Parameter Congenital hepatic hemangioma Multifocal infantile hepatic hemangioma Diffuse infantile hepatic hemangioma
Age at onset Prenatal Postnatal Postnatal
Growth pattens Grow antenatally and fully formed at birth Growth in the first weeks or months after birth Rapid growth in the first weeks or months after birth
Symptoms and complications Rarely associated with cutaneous IH. Most cases are asymptomatic. Some cases have mild anemia or thrombocytopenia. Few cases with high-output cardiac failure due to macrovascular shunting. Do not cause hypothyroidism Frequently associated with cutaneous IH. Many cases are asymptomatic. Some cases with moderate hypothyroidism, high-output cardiac failure secondary to macrovascular shunting Frequently associated with cutaneous IH. Almost all cases are symptomatic, with abdominal compartment syndrome, cardiac failure, and severe hypothyroidism
Image findings on MRI A solitary, well-defined, spherical lesion; usually hypointense to liver on T1-weight image and hyperintense on T2-weight image; centripetal enhancement with gadolinium Multiple homogeneous enhanced spherical lesions with intervening areas of normal hepatic parenchyma; hypointense to liver on T1-weight image and hyperintense on T2-weight image Innumerable lesions nearly involve the whole liver
Pathological features Negative for glucose transporter-1 Positive for glucose transporter-1 Positive for glucose transporter-1
Management Observation for asymptomatic patients; embolization or surgery for severe macrovascular shunting Observation for asymptomatic patients; embolization or surgery for severe macrovascular shunting; propranolol, steroid, a combination of medical treatment; thyroid hormone replacement for cases with hypothyroidism; liver transplantation Propranolol, steroid, or a combination of medical treatment; thyroid hormone replacement for cases with hypothyroidism; embolization for sever macrovascular shunting; liver transplantation