Cavernous hemangioma of the skull: 3 case reports

Giant Hemangioma Presenting as a Scalp Mass Leading to a Craniofacial Deformity

“…In histology, hemangiomas can be classified as cavernous or capillary [9,12,13]. The first type has no capsule and it is formed by large vascular cavernous spaces filled with blood and separated by connective tissue [9,12,13].…”

“…The first type has no capsule and it is formed by large vascular cavernous spaces filled with blood and separated by connective tissue [9,12,13]. In contrast, capillary hemangiomas are composed of smaller vessels without fibrous septa [10,13].…”

“…In cases of pericranial hemangiomas, most of the times, the diagnoses are obtained only after the surgery [13]. In the case described here, it was decided not carry out aspiration biopsy by fine needle or incisional diagnostic biopsy during the preoperative period due to the high risk of bleeding.…”

“…Surgical treatment is indicated for large hemangiomas that do not regress or that are functionally and/or aesthetically incapacitating, recurrent or hemorrhagic [4,8]. In cases of giant hemangiomas, surgical resection continues to be the treatment of choice [4,9,12,13].…”

“…Other treatment options are curettage [9,13] and radiotherapy [6,9,13]. Curettage can determine an excessive blood loss with consequent disturbance of homeostasis, and higher risk of recurrence compared with surgical excision [9,13].…”