Ovarian cavernous hemangioma: A case report and review of the literature with reference to controversial pathological diagnoses

Perçinel S., SAVAŞ B., Yilmaz G., CEYHAN K., SÖNMEZER M.

Gazi Medical Journal, cilt.19, sa.2, ss.89-92, 2008 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 2
  • Basım Tarihi: 2008
  • Dergi Adı: Gazi Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.89-92
  • Anahtar Kelimeler: Clinicopathological features, Differential diagnoses, Ovarian cavernous hemangioma
  • Ankara Üniversitesi Adresli: Evet

Özet

Vascular tumors of the female genital tract, especially those arising in the ovary, are very rare although the ovary has a rich vascular supply. We report a case of cavernous hemangioma of the right ovary in a 48-year-old woman who underwent total abdominal hysterectomy and right salpingo-oophorectomy for symptomatic uterine leiomyomas. At laparotomy, multiple uterine nodules consistent with leiomyomas were detected but the right ovary was unremarkable. Macroscopically, two intramural leiomyoma nodules, a corpus luteum cyst, a cortical cyst, multiple corpora albicans, and a paratubal cyst were observed. Microscopical examination revealed an incidental cavernous hemangioma, consisting of multiple thin-walled vascular channels, filled with red blood cells in the cortex and medulla of the right ovary, which had not been grossly appreciated. These vascular channels were lined by a single layer of flattened endothelial cells that showed strong immunoreactivity for CD31, CD34, and factor VIII-related antigen.