Capillary-Cavernous Hemangioma of Lymph Node: An Extremely Rare Case

Background: Hemangioma is a benign vascular tumour commonly found in young children. This tumor can grow within many organs, but occurring in the lymph node is extremely rare. The capillary-cavernous hemangioma (CCH) of the lymph node was mostly found as an incidental finding after histopathology confirmation of oncological surgery. Case: We presented the first case of intranodal CCH from the parietal region of the head in a 11-year-old boy. The easily-bleed lump was found above the head fascia and confirmed with histopathological examination. Conclusion: The capillary-cavernous hemangioma arising from the lymph node was an extremely rare pathological finding after oncological surgery. Treatment by surgical excision was curative. The awareness of this benign vascular tumour must be known to physicians so that it was not mistakenly diagnosed as a malignant disease with subsequent unnecessary radical therapy.

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Ovarian Hemangioma: a rare entity

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182023 ◽

2018 ◽

Vol 7 (6) ◽

pp. 2490

Author(s):

Mona Dahal ◽

Paricha Upadhyaya ◽

Purbesh Adhikari ◽

Diksha Karki ◽

Niraj Regmi

Keyword(s):

Abdominal Pain ◽

Cavernous Hemangioma ◽

Cystic Lesion ◽

Radical Surgery ◽

Histopathological Examination ◽

Correct Diagnosis ◽

Lower Abdominal Pain ◽

Surgical Excision ◽

Vascular Tumors ◽

Rare Entity

Ovarian hemangiomas are uncommon benign vascular tumors of ovary. Most of them are asymptomatic and detected incidentally during surgery. Authors report a case of 41 years female, parity 2; with complain of lower abdominal pain for 6 months. Ultrasonography showed a cystic lesion at right adnexa with a heterogeneously echogenic component within and devoid of internal vascularity. Laparoscopic right adnexal cystectomy was done, which on histopathological examination demonstrated features of cavernous hemangioma replacing the ovarian parenchyma. As surgical excision is treatment of choice, correct diagnosis is essential to avoid unnecessary radical surgery and treatment.

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Cervicovaginal cellular angiofibroma

BMJ Case Reports ◽

10.1136/bcr-2020-235241 ◽

2020 ◽

Vol 13 (7) ◽

pp. e235241

Author(s):

Sarah Van Mulders ◽

Ellen Faes ◽

Glenn Broeckx ◽

Yves Jacquemyn

Keyword(s):

Histopathological Examination ◽

Surgical Excision ◽

Large Mass ◽

Malignant Neoplasms ◽

Middle Aged ◽

Rare Type ◽

Cellular Angiofibroma ◽

First Case ◽

Pouch Of Douglas ◽

Mesenchymal Tumours

Cellular angiofibroma is a rare type of benign mesenchymal tumour that arises mostly in middle-aged women. It needs to be distinguished from other neoplasms and has a predilection for the vulvovaginal region. To our knowledge, this is the first case of a cervical cellular angiofibroma. A 34-year-old nulligravid woman was referred with a large mass bulging in the fornix posterior. Ultrasound scanning and MRI showed a large solid mass projecting in the pouch of Douglas. Laparoscopic surgical excision was performed. Histopathological examination showed a well-demarcated, unencapsulated tumour, consisting of short fascicles of spindle cells in-between thick-walled medium-sized vessels. On immunohistochemistry, there was strong reactivity with antibodies against CD34 and oestrogen receptor. Angiofibromas are benign mesenchymal tumours mostly occurring in middle-aged women. They can cause abnormal swelling and uterine bleeding and need to be distinguished from other (malignant) neoplasms.

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Intramuscular Cavernous Hemangioma of Medial Rectus Muscle in Paediatric Age Group

Case Reports in Ophthalmological Medicine ◽

10.1155/2017/1076404 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

Anuj Mehta ◽

Shalini Butola ◽

Mayuresh Naik ◽

Sangeeta Abrol ◽

Anju Kumari

Keyword(s):

Cavernous Hemangioma ◽

Histopathological Examination ◽

Rectus Muscle ◽

Surgical Excision ◽

Medial Rectus ◽

Paediatric Age ◽

Size Firm ◽

Minimal Contrast ◽

The Right ◽

Local Examination

An 11-year-old male child presented with a mass on the nasal aspect of the right eye that has been there for the last 2 years. Extraocular movements were decreased in the right eye on levoversion, levoelevation, and levodepression. Local examination revealed a bluish mass with irregular surface and ill-defined margins located in the medial rectus muscle. The mass was 10 × 20 mm in size, firm, nodular, nontender, nonpulsatile, noncompressible, and nonreducible. MRI of the orbit revealed a well-defined mass of approximately 23 × 13 mm along the medial rectus (MR) muscle. It was hyperintense on T2W images with very minimal contrast enhancement. A provisional diagnosis of hemangioma or lymphangioma with intralesional haemorrhage was made. During surgical excision, the mass was found to be encapsulated by MR fibres. The MR fibres were separated, and the mass measuring 20 × 8 × 6.5 mm was removed and sent for histopathology. The histopathological examination revealed an intramuscular cavernous hemangioma.

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An Unusual Case of Anterior Vaginal Wall Cyst

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1367 ◽

2015 ◽

Vol 7 (3) ◽

pp. 227-230

Author(s):

GS Anitha ◽

M Prathiba ◽

Mangala Gowri

Keyword(s):

South Asian ◽

Unusual Case ◽

Histopathological Examination ◽

Incidental Finding ◽

Surgical Excision ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Blunt Dissection ◽

Gynecological Examination ◽

Unmarried Girl

ABSTRACT Vaginal cysts are rare and are mostly detected as an incidental finding during a gynecological examination. Gartner duct cysts, the most common benign cystic lesion of the vagina, represent embryologic remnants of the caudal end of the mesonephric (Wolffian) duct. These cysts are usually small and asymptomatic and have been reported to occur in as many as 1% of all women. A 17-year-old unmarried girl presented with mass per vagina since one and a half year. On examination, anterior vaginal wall cyst of 8 × 4 × 3 cm was detected. Surgical excision of the cyst was done under spinal anesthesia by sharp and blunt dissection. The cyst was filled with mucoid material and histopathological examination confirmed Gartner origin. This is a rare case of large Gartner cyst. How to cite this article Anitha GS, Prathiba M, Gowri M. An Unusual Case of Anterior Vaginal Wall Cyst. J South Asian Feder Obst Gynae 2015;7(3):227-230.

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Cavernous hemangioma presented with gigantic tongue

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v14i4.25808 ◽

2015 ◽

Vol 14 (4) ◽

pp. 405-408

Author(s):

Mokhti Abdullah ◽

Norzi Ghazali ◽

Irfan Mohamad ◽

Hazama Mohamad

Keyword(s):

Blood Transfusion ◽

Airway Obstruction ◽

Cavernous Hemangioma ◽

Rare Case ◽

Surgical Intervention ◽

Histopathological Examination ◽

Medical Science ◽

Vascular Tumour ◽

Swallowing Difficulties ◽

Tongue Reduction

Lingual hemangioma is a benign congenital vascular tumour that may cause macroglossia. It can present with airway obstruction, speech disturbance, swallowing difficulties and mandible dental deformities. It usually occurred during childhood. Females are more affected. It usually poses difficulties in diagnosis and management. This case illustrated a rare case of lingual hemangioma in a 5 year old boy presented with tongue enlargement associated with swallowing difficulties and significant tongue bleeding which required blood transfusion. Surgical intervention in the form of tongue reduction surgery was successfully done to him. Histopathological examination revealed a cavernous hemangioma.Bangladesh Journal of Medical Science Vol.14(4) 2015 p.405-408

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Adult pancreatic cavernous hemangioma: case presentation of a benign tumor with a complex composition

BMC Gastroenterology ◽

10.1186/s12876-019-1119-5 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Tao Lianyuan ◽

Wang Yafeng ◽

Yu Haibo ◽

Dong Yadong ◽

Ma Jiahao ◽

...

Keyword(s):

Cavernous Hemangioma ◽

Benign Tumor ◽

Histopathological Examination ◽

Surgical Excision ◽

Complex Composition ◽

Ki 67 ◽

Case Presentation ◽

Multilocular Cyst ◽

Imaging Examination ◽

Upper Abdominal

Abstract Background Pancreatic cavernous hemangioma is an extremely rare benign tumor that is difficult to diagnose on an imaging examination, and its histopathological examination has rarely been reported. Case presentation Herein, we present the case of a 63-year-old man who was admitted to the hospital due to left upper abdominal pain and defecation unformed for more than 2 years. None of the positive results obtained from the physical examination could explain his symptoms. The imaging examination indicated a multilocular cyst with septa in the head of the pancreas. The patient underwent a pancreaticoduodenectomy, and the pathologic diagnosis was pancreatic cavernous hemangioma. The histopathological examination showed that the lesion was positive for benign vascular markers, such as CD31, CD34 and F8, and negative for lymphocyte markers, such as D2–40. Moreover, it was also positive for ERG and cytokeratin markers, CAM5.2 and AE1/AE3, indicating the complexity of its components, and Ki-67 negativity revealed its benign nature. Conclusions Pancreatic cavernous hemangioma has a complex composition that may be reflected not only in the imaging examination but also in the immunohistochemical detection, and it may achieve a good outcome by surgical excision.

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Radiotherapy in lymphoepithelioma-like carcinoma of the skin: review of the literature and report of a recurrent and metastatic case

Strahlentherapie und Onkologie ◽

10.1007/s00066-019-01516-8 ◽

2019 ◽

Vol 195 (11) ◽

pp. 1028-1032 ◽

Cited By ~ 1

Author(s):

A. Mucha-Małecka ◽

K. Urbanek ◽

A. Ambicka ◽

P. Majchrzak ◽

K. Małecki

Keyword(s):

Radiation Therapy ◽

Lymph Node ◽

Cervical Lymph Node ◽

Surgical Excision ◽

Metastatic Potential ◽

Lower Eyelid ◽

Review Of The Literature ◽

Prospective Data ◽

Positive Margins ◽

First Case

Abstract Primary lymphoepithelioma-like carcinoma of the skin (LELCS) is a very rare cutaneous neoplasm. Only about 70 cases have been documented in the literature. There are no prospective data regarding treatment methods. Surgical excision is sufficient therapy in the majority of cases. Radiation therapy is sometimes used in case of recurrence or positive margins after surgery. The metastatic potential of LELCS is extremely low and only five previously documented cases of lymph node spread have been reported. We present the case of an 80-year-old male with a tumor primarily located on the lower eyelid, with two regional recurrences and cervical lymph node spread after surgery, treated with concurrent chemoradiation. According to the available data, this is the first case of lymph node spread from an eyelid location and the first nodal recurrence after surgery.

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Treatment of Recurrent Primary Cutaneous Mucinous Carcinoma of the Eyelid with Modified Wide Local Excision

Case Reports in Ophthalmological Medicine ◽

10.1155/2020/6668640 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Stephanie M. Tillit ◽

Siva S. R. Iyer ◽

Eric J. Grieser ◽

John T. LiVecchi

Keyword(s):

Case Report ◽

Histopathological Examination ◽

Malignant Neoplasm ◽

Surgical Excision ◽

Residual Tumor ◽

Excisional Biopsy ◽

Mucinous Carcinoma ◽

Low Grade ◽

Upper Eyelid ◽

First Case

Primary cutaneous mucinous carcinoma (PCMC) is a rare, low-grade malignant neoplasm of the sweat gland, whose history has been controversial regarding eccrine versus apocrine origin. This case report describes a 53-year-old male who presented to the University of Florida, Gainesville, ophthalmology clinic and was referred to the oculoplastics service with a painless, subcentimeter mass on the lateral right upper eyelid including the canthus, consistent with recurrent primary cutaneous mucinous carcinoma of the eyelid. Four years prior, the patient had undergone excisional biopsy of the lesion in a clinic, which revealed residual tumor, but the patient deferred further surgery at the time. The patient underwent surgical excision of the mass with reconstruction without operative complications and with negative surgical margins. PCMC is difficult to diagnose clinically due to its rarity and requires a histopathological examination for confirmation of the diagnosis. This report presents the first case in the literature of primary cutaneous mucinous carcinoma in a patient with human immunodeficiency virus (HIV). With this case report, we aim to raise awareness of primary cutaneous mucinous carcinoma as a potential part of the differential diagnosis for malignant eyelid lesions, including those present in patients with HIV.

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Large left atrial cavernous hemangioma, a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-019-1005-9 ◽

2019 ◽

Vol 14 (1) ◽

Author(s):

Jian Xu ◽

Hulin Piao ◽

Duo Wang ◽

Yong Wang ◽

Bo Li ◽

...

Keyword(s):

Computed Tomography ◽

Coronary Artery ◽

Cavernous Hemangioma ◽

Left Atrial ◽

Histopathological Examination ◽

Low Frequency ◽

Surgical Excision ◽

Posterior Wall ◽

Uneventful Recovery ◽

Complete Surgical Excision

Abstract Background Cardiac cavernous hemangiomas are extremely rare and usually difficult to be diagnosed for being asymptomatic. Case presentation An asymptomatic 56-year-old woman was hospitalized due to a heart mass found by chest computed tomography (CT) during her annual physical examination. Coronary computed tomography angiography (CTA) disclosed a tumorous lesion, located in the left atrial roof and extended to the posterior wall of the aortic root and surrounding the left main coronary artery. However, there was no communicating branches between the hemangioma and coronary artery and no coronary artery stenosis. The tumor was excised with low-frequency electrocautery under cardiopulmonary bypass. The histopathological examination indicated the mass a cavernous hemangioma. The patient was discharged with an uneventful recovery. Conclusions Here we presented a rare case of successfully excision of a cavernous hemangioma involving the left atrial roof and left coronary artery. We advocate adequate exposure and complete surgical excision with low-frequency electrocautery to avoid remnants and excessive resection.

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Ileal intussusception due to primary intestinal melanoma with generalized lymph node metastases- a rare cause of small bowel obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20210394 ◽

2021 ◽

Vol 8 (2) ◽

pp. 739

Author(s):

Keerthi Andi Rajendharan ◽

Gurushankari Balakrishnan ◽

Sudharsanan Sundaramurthi ◽

Balamourougan Krishnaraj ◽

Sarath Chandra Sistla

Keyword(s):

Lymph Node ◽

Cutaneous Melanoma ◽

Histopathological Examination ◽

Surgical Excision ◽

The Body ◽

Whole Body ◽

Resection Margins ◽

Low Grade ◽

Primary Cutaneous Melanoma ◽

Intestinal Melanoma

Primary melanomas of small intestine are rare and most of them are metastases from cutaneous melanoma. The features distinguishing primary from metastatic intestinal melanoma are still under debate. Primary intestinal melanoma (PIM) is associated with a worse prognosis and a more aggressive behaviour due to its rapid growth. Hence, we report a case of primary ileal melanoma presenting as intussusception with generalized lymph node metastasis. A 69-year-old lady presented with recurrent abdominal pain, vomiting, distension and low grade fever. On examination, a 4*4 cm right inguinal lymph node was noted with no abnormalities on abdominal and per rectal examination. Computed tomography (CT) revealed ileoileal intussusception which was confirmed on laparotomy and diagnosed as primary ileal melanoma on histopathological examination (HPE). Whole-body Positron Emission Tomography (PET) CT revealed metastasis to lymph nodes all over the body. Intestinal melanomas are rare and mostly occur secondary to primary cutaneous melanoma. The clinical picture of intestinal melanoma is varied, ranging from chronic vague symptoms to surgical emergency such obstruction and bleeding. Treatment of both primary as well as metastatic intestinal melanoma is surgical excision. Intestinal melanoma, in general, carries a bad prognosis than cutaneous melanoma. Owing to the rarity and vague presentation, early diagnosis of intestinal melanoma requires a high index of suspicion, multimodal imaging and timely surgical intervention with adequate resection margins.

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