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JPTM > Volume 45(5); 2011 > Article
The Korean Journal of Pathology 2011;45(5): 520-522.
doi: https://doi.org/10.4132/KoreanJPathol.2011.45.5.520
Cavernous Hemangioma of the Uterus in a Postmenopausal Woman: A Case Report.
Hye Ra Jung, Chi Hum Cho, Sang Hun Kwon, Sun Young Kwon
1Department of Pathology, Keimyung University School of Medicine, Daegu, Korea. pathol72@dsmc.or.kr
2Department of Gynecology and Obstetrics, Keimyung University School of Medicine, Daegu, Korea.
ABSTRACT
Cavernous hemangioma of the uterus is an uncommon mesenchymal tumor. Most cases have been reported in young, pregnant women and the condition is very rare in a postmenopausal patient. An 81-year-old woman presented with a huge pelvic mass. Abdominal computed tomography and magnetic resonance imaging results suggested a leiomyoma with degenerative change and hemorrhage. Microscopically, large, thick-walled and variable-sized vascular channels were evident in the majority part of myometrium; the lining cells were immunohistochemically reactive for CD31. Vascular tumors of the female genital tract should be cautiously excised due to the profuse intra-operative bleeding. The pathological examination of a hysterectomy specimen is the only method to confirm the diagnosis of this tumor.
Key Words: Uterus; Myometrium; Cavernous hemangioma