Capillary Hemangioma of the Fallopian Tube

Abstract

Neoplastic lesions of the fallopian tube are rarely seen by surgical pathologists. Haemangioma of the fallopian tube is an extremely rare benign neoplasm. A 30-year-old lady with polymenorrhea and dysmenorrhea underwent hysterectomy and bilateral salpingo-oophorectomy. Her left fallopian tube showed a 2mm sized solid nodule in the wall. Histopathological examination revealed a well-defined vascular lesion in the left fallopian tube, consistent with capillary haemangioma. The vascular endothelium was highlighted by CD34 immunostaining. Our literature review has identified 10 cases of cavernous haemangioma of the fallopian tube. To the best of our knowledge, we report the first ever case of capillary haemangioma of the fallopian tube. This is also the smallest detected haemangioma in the fallopian tube.

Capillary haemangioma of fallopian tube: a rare but dangerous incidental finding

“…Mostly, presenting as a small nodule or bulge in tubal wall. 2,3,[6][7][8] However, in few cases the lesion was found inside the tubal lumen filling it as hemorrhagic mass. [9][10][11] In the present case, the lesion was present in left fallopian tube and the tube was grossly normal.…”

“…In the present case we found the positivity for CD34 in the endothelial cells cavernous channels. 2,4 Treatment of hemangioma of fallopian tube is surgical excision of the lesion. In all the reported cases, no recurrences have been reported.…”

“…However, follow up of patient may be done for similar lesions at other sites and other rare causes of congenital hemangioma. 2…”

“…Fallopian tube neoplasms are uncommon tumours of female genital organs, most common benign tumor being endometrioid polyp occurring at the interstitial portion. 2 Fallopian tube haemangioma was first reported by Ragins et al, in 1947, since then only twelve cases have been reported in the literature, eleven of which were cavernous haemangioma and only one case of capillary haemangioma is reported. [2][3][4] Majority of haemangioma of female pelvic organs are detected incidentally, but they can mimic various benign and malignant lesions clinically and radiologically.…”

Fallopian Tube Hemangioma Discovered on Follow-up for Uterine Leiomyoma

“…Hemangiomas (vascular neoplasms) are benign tumors of endothelial cell origin that can be detected at any age and in many human organs. They include a heterogeneous group of malformations resulting from a congenital disorder of vascular morphogenesis as well as true neoplasms that occur due to either endothelial cell proliferation or vascular malformations without true endothelial cell proliferation 1 , 3 . Hemangioma in female reproductive organs, particularly in the FT, is a sporadic disease.…”