Cavernous haemangioma of cervix mimicking malignancy: a case report and review of the literature

Haemangiomas are defined as benign neoplasm arising from blood vessels, either in internal organs or in the skin. There are two types of haemangioma: capillary and cavernous. Capillary haemangioma is usually seen at the top layer while cavernous is often found at deeper layer. These are characterized by abnormal accumulation or growth of blood vessels filled with blood. The cavernous haemangiomas occur less frequently than the capillary ones. These are usually soft to touch. Although some haemangiomas involve large portion of body, most are localized. The majority of lesions are superficial, often of head and neck, but can occur internally. The internal organs mostly affected are liver, spleen, pancreas, GIT, skin, uterus and sometimes the brain. The cervical localization is low. Most of cervical haemangiomas are incidental findings and show asymptomatic behaviour. They sometimes may cause abnormal vaginal bleeding as menorrhagia, metrorrhagia or post coital bleeding and dyspareunia. The most common differential diagnosis include cervical malignant tumor. The treatment is the surgical excision.