Splenic Hemangiomas: Are They Linked to Cancer? - Gastroenterology and Hepatology

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Splenic hemangioma


Recently, during a health check-up ultrasound, a hemangioma was found on the spleen.
I would like to ask if there is a relationship between splenic hemangiomas and cancer.
Is there a possibility that it could progress to cancer? Thank you.

Kevin, 20~29 year old female. Ask Date: 2017/11/12

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: The presence of splenic masses is rarely associated with hematological, lymphatic diseases, or metastatic tumors.
Hemangiomas are common benign conditions; if they are small and uniform, imaging studies typically indicate a hemangioma, and regular follow-up is usually sufficient.
However, larger hemangiomas may carry a risk of rupture.
While the likelihood of malignant transformation into angiosarcoma exists, it is rare and should be monitored.
Wishing you peace and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/12

More Info


Splenic hemangiomas are benign vascular tumors of the spleen that are generally considered non-cancerous. They are composed of a mass of blood vessels and are often discovered incidentally during imaging studies, such as ultrasound or CT scans, performed for other reasons. The majority of splenic hemangiomas are asymptomatic and do not require treatment.
To address your concern about the relationship between splenic hemangiomas and cancer, it is important to clarify that these tumors are not typically associated with malignancy. In fact, splenic hemangiomas are classified as benign lesions, and there is no substantial evidence to suggest that they can transform into cancerous tumors. Unlike some other types of tumors, such as certain adenomas or other vascular lesions, splenic hemangiomas do not carry a risk of malignant transformation.

However, it is essential to monitor any changes in the size or characteristics of the hemangioma over time. In rare cases, if a hemangioma is large or symptomatic—causing pain, splenic rupture, or other complications—surgical intervention may be considered. This is not due to a risk of cancer but rather to manage the symptoms or complications associated with the hemangioma.

In terms of follow-up, your healthcare provider may recommend periodic imaging to ensure that the hemangioma remains stable. If there are any changes in size or if new symptoms arise, further evaluation may be warranted.
It is also worth noting that while splenic hemangiomas themselves are benign, the presence of a splenic lesion can sometimes prompt further investigation to rule out other conditions, including malignancies. Therefore, if there are any concerns or if the hemangioma exhibits atypical features, your doctor may suggest additional imaging studies or even a biopsy to confirm the diagnosis.

In summary, splenic hemangiomas are benign tumors that are not linked to cancer and do not typically worsen into malignancy. Regular monitoring and communication with your healthcare provider are key to managing your health and addressing any concerns you may have regarding the hemangioma. If you have further questions or if your situation changes, do not hesitate to reach out to your healthcare provider for personalized advice and guidance.

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