肝海绵状血管瘤为先天性、良性肿瘤,多数有自限性亦无明显临床症状,恶变及自发破裂可能极少,成人海绵状血管瘤至今无有效治疗药物,因此只要诊断可靠,体积小、无明显症状者不需治疗,只要定期随访则可。体积巨大或随访中发现不断增大而引起明显临床症状、甚至影响肝功能或引起凝血功能障碍者则需积极治疗。肝海绵状血管瘤的诊断多根据影像学确定,但 Hemangioma is a congenital and benign tumor. Most of them are self-limited and have no obvious clinical symptoms. Malignant changes and spontaneous rupture may be rare. There is no effective therapeutic drug for cavernous hemangiomas in adults so long as the diagnosis is reliable, the volume is small, No obvious symptoms without treatment, as long as regular follow-up can be. Large volume or follow-up was found to cause significant clinical symptoms, and even affect the liver function or cause coagulation disorders who need active treatment. The diagnosis of hepatic cavernous hemangiomas are mostly based on imaging, but