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Cavernous Hemangioma - Orbital Ridge
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Cavernous Hemangioma - Orbital Ridge

This specimen contains the bones of the orbit in section.
Note the blue lesion. This is the cavernous hemangioma.
The blue color is due to the accumulation of de-oxygenated blood.
(Description By:T. V. Rajan, M.D. )
(Image Contrib. by:Hartford Hospital Hartford Hospital )
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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