### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have a 8cm x 6.8cm liver hemangioma. 4 years ago it was just 4cm x 4cm. Why is it growing and why do my doctors act as this is nothing?? I have a high risk of cancer in my family. Plus, I have been sick lately with RUQ pain, nausea, I am tired all the time, I dont eat much but I feel full fast. This use to not be an issue. I feel like Im being ignored and that hemangioma is being ignored. I even questioned if it could be pushing on a duct causing issues in my gallbladder? Please help I wanna figure out whats going on

### output:

Hello, How are you? I am sorry to hear about your condition. Hemangiomas of the liver are fairly common condition diagnosed by ultrasonography. In the majority of the cases these do not cause any symptoms to the patient and are detected by scans done for other reasons. But when they start growing or when they become blocked they can cause pain. They can also rarely start bleeding when emergency treatment need to be initiated. When they do become symptomatic, the best treatment would be to surgically resect ("cut out") the hematoma. This severity of the surgery will depend on the size and location of the hematoma, the physical condition of the patient and also his liver function. If for some reason surgery is not feasible, then there are treatment options available which can be explored like percutaneous sclerosis injection or blocking of the feeding blood vessels to decrease the size of the hematoma. Please do let me know the previous treatment reports and scan reports, so I can help you better. Hope this helped and hope you start to feel better. Please do not hesitate to contact me for further details - XXX