Primary Ovarian Hemangioma: Case Report and Review of Literature

Hemangiomas are benign and rare tumors of female genital tract and most of which are asymptomatic. A 55-year-old woman was referred to our department due to postmenopausal bleeding with 3 cm diameter adnexial mass. Transvaginal sonography revealed a 3-cm right ovarian semicystic mass with a low-resistant vascular flow pattern in the Doppler examination, supporting malignant neoplasia of the ovary. Serum Ca-125 levels of the patient were inconclusive. The pathology result of the mass was primary ovarian hemangioma, a benign vascular tumor after the surgery. Primary ovarian hemangiomas are extremely rare conditions. Some of the ovarian hemangiomas are presented as an ovarian mass with ascites and serum Ca-125 elevation, mimicking advanced stage ovarian cancer. Frozen sections may not always give a definitive histologic behavior of the mass. Thus, unnecessary radical surgery may be performed for benign ovarian vascular neoplasm.