Cavernous hemangioma is a vascular tumor. It contains stagnant blood. It is a common birthmark. Cavernous angioma is also known as cerebral cavernous malformation (CCM), cavernous hemangioma, and cavernoma. Cavernous hemangiomas are common vascular malformations found in many organs including the central nervous system.
These common birthmarks usually become symptomatic in older children or young adults, with bluish skin discoloration and local swelling, and pain. Male are more affected then women.
Cavernous hemangioma affect about 0.5 percent of the population worldwide.
Cavernous hemangioma is a benign congenital disease. It is usually neglected in early stage or in visceral organs, but it is difficult to be cured when the tumor grew bigger and produced symptoms by compression. Severe deformities were occurred when the tumor grew on the head, face and neck.
Cavernous malformations tend to grow because of repeated small hemorrhages, or leaking of blood around the abnormal tissue.
Hemangiomas, both deep and superficial, undergo a rapid growth phase in which their volume and size increase rapidly. This phase is followed by a rest phase, in which the hemangioma changes very little, and an evolutional phase where the hemangioma begins to disappear.
Hemangiomas may be present anywhere on the body. However, they are most disturbing to parents when they are on the infant's face or head.
Hemangiomas are usually present at birth. Mostly they may appear within a few months after birth. Often it is beginning at a site that has appeared slightly dusky or differently colored than the surrounding tissue.
Clinical symptoms of this disease include recurrent headaches, focal neurological deficits, hemorrhagic stroke, and seizures, but CCM can also be asymptomatic.
When the angiomas were removed the pains as well hypaesthesia and hypoalgesia in the median nerve area disappeared completely. While in one patient this result stayed on, in the other the same symptoms reappeared when hemangioma recurred.
The first treatment option is to observe the cavernous malformation with yearly MRI scans to see if it changes. This option may be indicated if the lesion is discovered incidentally and not thought to cause any problems.
Small cavernous hemangiomas situated on the surface of the body may be removed or treated by electrocoagulation. Surgery is usually needed if a cavernous hemangioma causes increased growth of an extremity. Recently, lasers have been used to reduce the bulk of the hemangiomas. Lasers emitting yellow light can selectively damage the vessels in the hemangioma without damaging the overlying skin.
Recently, lasers have been used to reduce the bulk of the hemangiomas. Lasers emitting yellow light can selectively damage the vessels in the hemangioma without damaging the overlying skin.
If complications force the issue and some sort of treatment must be attempted, oral steroids will often trigger shrinking of the hemangioma. This is the most common approach. More heroic measures include injection of tiny beads or other foreign material to clogg up the vessels, or as a last resort, surgery.
It is very important to remove the entire malformation because it can grow back if a small piece is left behind. The risk of the operation depends on the size and location of the cavernous malformation and the general health of the patient.