Medicus, Vol. 34. No. 1. KRM zdravlje, 2025.
Professional paper
Ovarian Hemangioma Mimicking Ovarian Carcinoma
Mato Pavić
Krunoslav Budimir
Davor Petrović
Evita Prtenjača
Luka Puvačić Solomun
Ivana Maurac Pašalić
Abstract
This paper aims to give a diagnostic and therapeutic approach to ovarian hemangioma (OH), as a rarity in gynecological practice, with less than 60 cases reported in available medical literature. A 67-year-old female patient was referred to our clinic due to morphologically suspicious and progressively growing cystic formations to the left ovary. Transvaginal ultrasound revealed solid-cystic changes measuring 4.45 × 5.15 × 4.52 cm, the largest cystic component being 2.31 × 1.75 cm, but without significant flow on the color Doppler. Additionally, an elevated level of tumor marker CA-125 (45.2 U/mL) was noted. Diagnostic and therapeutic laparoscopic surgery was indicated. During the laparoscopy, a cystic tumor formation of approximately 5 cm was visible in the area of the left adnexa, with a smooth outer membrane but with pronounced vascular pattern. Furthermore, another tumor mass measuring approximately 2 cm was identified along the lateral edge of the ileocecal junction on the parietal peritoneum, morphologically similar to the one described above. Cytological samples of free fluid were taken from the Douglas space and cyst contents. Also performed were a bilateral adnexectomy and excision of the parietal peritoneal mass. Histopathological analysis confirmed both masses as hemangiomas. Despite elevated CA-125 values, ultrasound findings suggesting other pathologies and intraoperative peritoneal masses, ovarian hemangioma should be included in the differential diagnosis of cystic and solid ovarian masses. A final diagnosis is possible only through histopathological verification.
Keywords
Hrčak ID:
338556
URI
Publication date:
27.10.2025.
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