Definition
Hemangioma is a benign vascular tumor.
Clinical Features
Incidence
Hemangioma of the urogenital tract is rare and reports consist mainly of single cases or small series. However, hemangiomas were detected in 8.8% of kidneys removed for end-stage renal disease.
Age
It occurs at all ages, including infants. The median is in the sixth decade.
Sex
Hemangiomas of the kidney and the bladder occur more frequently in males.
Site
Urogenital hemangiomas arise more frequently in the kidney and the bladder.
Treatment
Surgery is the primary treatment. Embolization of the lesion may be considered to reduce the bleeding.
Outcome
Hemangioma is a benign tumor that does not recur after complete excision.
Macroscopy
Grossly, hemangiomas appear as hemorrhagic lesions ranging in size from 0.5 to 9 cm.
Microscopy
Histologically, hemangiomasconsist of a well-demarcated but unencapsulated proliferation of variably sized blood vessels, lined by flattened endothelial cells with very scant...
References and Further Reading
Bean, G. R., Joseph, N. M., Gill, R. M., Folpe, A. L., Horvai, A. E., & Umetsu, S. E. (2017). Recurrent GNAQ mutations in anastomosing hemangiomas. Modern Pathology, 30, 722–727.
Brown, J. G., Folpe, A. L., Rao, P., Lazar, A. J., Paner, G. P., Gupta, R., Parakh, R., Cheville, J. C., & Amin, M. B. (2010). Primary vascular tumors and tumor-like lesions of the kidney: A clinicopathologic analysis of 25 cases. The American Journal of Surgical Pathology, 34, 942–949.
Büttner, M., Kufer, V., Brunner, K., Hartmann, A., Amann, K., & Agaimy, A. (2013). Benign mesenchymal tumours and tumour-like lesions in end-stage renal disease. Histopathology, 62, 229–236.
Cheng, L., Nascimento, A. G., Neumann, R. M., et al. (1999). Hemangioma of the urinary bladder. Cancer, 86, 498–504.
Montgomery, E., & Epstein, J. I. (2009). Anastomosing hemangioma of the genitourinary tract: A lesion mimicking angiosarcoma. The American Journal of Surgical Pathology, 33, 1364–1369.
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Franchi, A. (2019). Hemangioma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4822-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4822-1
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