Cavernous hemangioma of the right atrium: presumptive diagnosis by coronary angiography.

The angiographic findings in a patient with an interesting vascular tumor of the right atrium are described. The tumor was supplied by vessels from both the right and left coronary arteries and consisted of dilated blood spaces in which contrast material persisted for a prolonged period of time.     

Cavernous haemangioma of the right atrium

Cardiac haemangiomas are rare benign primitive tumors. We are reporting the case of a 67-year-old woman presenting with a haemangioma of the right atrium. This tumor was discovered by echocardiography because of cerebral strokes. The magnetic resonance imaging determined the characteristics of the tumor. It was completely resected through a right atrial approach. This was a round mobile mass, pediculed and implanted at the inferior area of the interatrial septum. The histopathological analysis revealed a cavernous haemangioma.     

Cardiac hemangioma of the right atrium.

Primary cardiac tumors are rare, with an incidence range between 0.001% and 0.030% at autopsy. Recent technical advances have facilitated diagnosis and surgical treatment of such lesions. Patients with a resectable tumor usually have a good prognosis, but patients with an unresectable tumor may have a poor prognosis. This report shows a case of right atrial hemangioma growing like an extracardiac mass, with cardiac tamponade the only clinical presentation.     

Cavernous hemangioma of the esophagus

Hemangiomas are benign tumors and their esophageal location is extremely rare. Identification prior to surgery is very important in order to spare the patient unnecessary resections. We report one case treated by localized surgical removal.     

Cavernous hemangioma of the thyroid.

Most current vascular alterations of the thyroid are connected with the organization of a thyroid hematoma after fine-needle aspiration (FNA). Cavernous hemangioma is a benign congenital vascular malformation that occasionally affects the thyroid. This article presents two cases of this rare thyroid pathology unrelated to FNA.     

Cavernous hemangioma of the rectum and rectosigmoid

Summary Hemangioma of the colon and rectum, although a rare condition, can be diagnosed preoperatively if the condition is considered in the light of certain historical and clinical findings. A long history of continuous bleeding in small quantities or episodes of massive rectal bleeding are the outstanding diagnostic features elicited while taking the patient’s history. Suggestive ancillary findings include the appearance of soft, compressible masses in the rectum detectable either by sigmoidoscopy or roentgenologic examination. Phleboliths in unusual locations should arouse suspicion and displacement of the barium-filled small bowel by a pelvic mass gives an indication of the size of the vascular tumor. The expected eventual outcome in untreated or inadequately treated patients is death from massive rectal hemorrhage. It is agreed that surgical removal is the treatment of choice whenever possible; the type of resection depends on the degree and location of the tumor. This paper represents the personal viewpoint of the authors and is not to be construed as a statement of official Air Force policy.     

Hemangio-endotheliosarcoma of the right atrium

In reporting a case of haemangiosarcoma of the right atrium the authors emphasize the problems encountered in the diagnosis of primary tumours of the heart. The patient was a 50-year old woman who complained of digestive disorders and palpitations. Physical examination showed signs of right heart failure associated with a systolic murmur on the right side of the sternum. ECG gave normal results. Echocardiography displayed a pouch with liquid ultrastructure communicating with the right atrium. Angiography confirmed the presence of a cavity with irregular borders communicating with the right atrium. Coronary arteriography showed an abnormal disorderly distribution of the right coronary artery branches with newly formed vessels extending toward the tumour. At exploratory thoracotomy a large liquid tumour was found which bled at the slightest touch and was attached to the mediastinum and the right pericardium. The pleura and the lung contained several nodules of the same venous colour as the mother tumour. Extemporaneous biopsy and pathological analysis were in favour of a haemangiosarcoma. The patient died a few days after the thoracotomy.     

Cavernous hemangioma: rare incidentaloma of the adrenal gland

The hemangioma of the adrenal gland is an adrenal gland lesion rare, benign and usually asymptomatic. Discovered incidentally during an abdominal imaging study, it is part of incidentalomas. Imagery is the best to characterise these silent adrenal masses (computed tomography [CT], Magnetic Resonance Imaging [MRI]± Positron Emission Tomography [PET scan] with 18F-FDG). The main risks of the hemangioma are ignorance of malignancy, bleeding and abdominal mass syndrome. The analysis of the literature shows the importance of laparoscopy. A multidisciplinary discussion on this type of lesion appears indispensable both diagnostic and therapeutic.     

Cavernous hemangioma of the rib: a case report

Cavernous hemangioma of the bone is an uncommon benign vascular tumor, generally occurring in the spine or skull but extremely rare in the rib. We report the case cavernous hemangioma of the rib treated by surgical resection after CT and MR findings.