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Cavernous hemangioma
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Cavernous hemangioma

A low power view of an area of a cavernous hemangioma displaying a large number of blood vessels, filled with blood, that comprise this lesion.
Note that the blood vessels are significantly larger in size than capillaries.
(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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