Localized cavernous hemangioma of the uterus involving adenomyotic foci

Daryoush Saeed-Vafa, Erin Myers, Yajue Huang, J. Stuart Ferriss, Varsha Manucha

Research output: Contribution to journalArticlepeer-review

Abstract

Localized cavernous hemangioma of the uterus is an extremely rare lesion that often presents with heavy uterine bleeding and/or pelvic pain. Though more cases exist for pregnant women, some isolated case reports involve non-pregnant women. The diagnosis is difficult and requires a high index of clinical and radiological suspicion. Here we describe a clinically and radiologically unsuspected case of a localized cavernous hemangioma in a 27-year-old woman, with a prior history of an uneventful Cesarean section. Surgical excision of the lesion at the cornu of the uterus was performed. Histopathology revealed a cavernous hemangioma involving the endomyometrium and invading the foci of adenomyosis. A cavernous hemangioma localized to a portion of the uterus may be clinically silent during pregnancy and throughout delivery thus making it difficult to detect. Though rare, it may be an important differential in any female patient who presents with non-responsive uterine bleeding and/or unremitting pelvic pain.

Original languageEnglish (US)
Pages (from-to)69-71
Number of pages3
JournalJournal of Cancer Research and Therapeutics
Volume7
Issue number1
DOIs
StatePublished - Jan 2011
Externally publishedYes

Keywords

  • Cavernous hemangioma
  • localised
  • uterus

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

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