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Cavernous hemangioma 20x
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Cavernous hemangioma 20x

A medium power view of the wall of a typical blood vessel in a cavernous hemangioma.
The walls are composed of a thin layer of collagenous connective tissue seen in this image as a eosinophilic matrix.
Separating this tissue from the red blood cells is a single layer of endothelial cells indicated by the black arrows.
(Description By:T.V.Rajan, M.D. )
(Image Contrib. by:T.V.Rajan, M.D. UCHC )
Cavernous Hemangioma
Etiology

Unknown.
Pathogenesis

Unknown. ,
Epidemiology

Often noted in childhood.
General Gross Description

Benign vascular malformation.
Usually solitary; however, multiple cavernous hemangiomas occur in a genetic disorder, called von Hippel-Lindau disease.
Grossly, cavernous hemangiomas are blue, soft and spongy.
General Microscopic Description

Histologically, the lesion is characterized by large, thin walled blood vessels completely filled with blood.
In contrast to other hemangiomas, vascular channels are of large diameter (hence, cavernous or like a cave).
Evidence of previous hemorrhage often seen.
Clinical Correlation

Present as blue lesions.
Tumors are most often only of cosmetic significance.
However, when present in the brain, hemorrhage can be a lethal consequence.
In von Hippel-Lindau disease, several of these lesions are seen, in the cerebellum, brain stem and abdominal viscera.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 507.
Cavernous Hemangioma
Synopsis by: T.V. Rajan M.D. Ph.D. (T1X500M91210)[72]
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