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2024 ; 16
(7
): 2047-2053
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Retrospective analysis based on a clinical grading system for patients with
hepatic hemangioma: A single center experience
#MMPMID39087105
Zhou CM
; Cao J
; Chen SK
; Tuxun T
; Apaer S
; Wu J
; Zhao JM
; Wen H
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2047-2053
PMID39087105
show ga
BACKGROUND: The optimal approach for managing hepatic hemangioma is
controversial. AIM: To evaluate a clinical grading system for management of
hepatic hemangioma based on our 17-year of single institution experience.
METHODS: A clinical grading system was retrospectively applied to 1171 patients
with hepatic hemangioma from January 2002 to December 2018. Patients were
classified into four groups based on the clinical grading system and treatment:
(1) Observation group with score < 4 (Obs score < 4); (2) Surgical group with
score < 4 (Sur score < 4); (3) Observation group with score ? 4 (Obs score ? 4);
and (4) Surgical group with score ? 4 (Sur score ? 4). The clinico-pathological
index and outcomes were evaluated. RESULTS: There were significantly fewer
symptomatic patients in surgical groups (Sur score ? 4 vs Obs score ? 4, P <
0.001; Sur score < 4 vs Obs score < 4, ?² = 8.60, P = 0.004; Sur score ? 4 vs Obs
score < 4, P < 0.001). The patients in Sur score ? 4 had a lower rate of in need
for intervention and total patients with adverse event than in Obs score ? 4 (P <
0.001; P < 0.001). Nevertheless, there was no significant difference in need for
intervention and total patients with adverse event between the Sur score < 4 and
Obs score < 4 (P > 0.05; ?² = 1.68, P > 0.05). CONCLUSION: This clinical grading
system appeared as a practical tool for hepatic hemangioma. Surgery can be
suggested for patients with a score ? 4. For those with < 4, follow-up should be
proposed.
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