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ARTICLE |

Surgical Treatment of Hepatic Hemangioma in the Newborn

Nathaniel M. Matolo, MD; Dale G. Johnson, MD
Arch Surg. 1973;106(5):725-727. doi:10.1001/archsurg.1973.01350170085023.
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Hepatic hemangiomas that become clinically apparent in newborn infants are life-threatening lesions. Death is usually caused by either congestive heart failure due to arteriovenous shunt, rupture with fatal hemorrhage, or thrombocytopenia with massive hemolysis and hemorrhage.

Two cases of giant cavernous hemangiomas of the liver in newborn infants occurred. The masses were felt shortly after birth. Successful resection of the tumors by hepatic lobectomy was carried out without morbidity, mortality, or permanent derangement of liver function.

Administration of corticosteroids offers an alternative treatment for extensive hepatic hemangioma. Hepatic lobectomy is the treatment of choice for infants with tumor localized in one lobe.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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