Skip to main content

Advertisement

Log in

Expression of estrogen receptor in hemangioma of the uterine cervix: reports of three cases and review of the literature

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

The occurrence of hemangioma in the female genital tract, particularly in uterine cervix, is rare. The majority of them show asymptomatic behavior. Surgical excision remains curative in most of the cases. Conservative therapies such as sclerosing agents, cryotherapy, and CO2 laser excision may be alternatively applied. We present three cases of hemangiomas of the cervix in asymptomatic women, diagnosed as cavernous hemangioma in two cases and capillary hemangioma in one. All tumors were immunoreactive for CD31, CD34, factor-VIII-related antigen. Focal expression of estrogen receptors was detected. No positivity was obtained with progesterone receptor antibodies. The presence of estrogen receptor in the endothelial cells of the hemangioma of the cervix suggests a direct role of this hormone in the hemangioma development. A possible target therapy is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Ozyer S, Uzunlar O, Gocmen M, Bal S, Srvan L, Mollamahmutoğlu L (2006) Cavernous hemangioma of the cervix: a rare cause of vaginal bleeding. J Low Genit Tract Dis 10(2):107–108. doi:10.1097/01.lgt.0000210120.78145.b8

    Article  PubMed  Google Scholar 

  2. Gupta R, Singh S, Nigam S, Khurana N (2006) Benign vascular tumors of female genital tract. Int J Gynecol Cancer 16:1195–1200. doi:10.1111/j.1525-1438.2006.00523.x

    Article  PubMed  CAS  Google Scholar 

  3. Kondi-Pafiti A, Kairi-Vassilatou E, Spanidou-Carvouni H, Kontogianni K, Dimopoulou K, Goula K (2003) Vascular tumors of the female genital tract: a clinicopathological study of nine cases. Eur J Gynaecol Oncol 24:48–50

    PubMed  CAS  Google Scholar 

  4. Riggs J, Bertoni M, Schiavella H, Weinstein A, Kazimir M (2003) Cavernous hemangioma of the cervix with intractable bleeding. J Reprod Med 48:741–743

    PubMed  Google Scholar 

  5. Pedowitz P, Felmus LB, Mackles A (1955) Vascular tumors of the uterus. I. Benign vascular tumors. Am J Obstet Gynecol 69:1291–1308

    PubMed  CAS  Google Scholar 

  6. Tanaka N, Tsuda M, Samura O, Miyoshi H, Hara T, Kudo Y (2007) Blue rubber bleb nevus syndrome: report of a patient with hemangiomas of the vaginal portion of the cervix appearing during pregnancy. J Obstet Gynaecol Res 33:546–548. doi:10.1111/j.1447-0756.2007.00568.x

    Article  PubMed  Google Scholar 

  7. Padmanabhan V, Mount SL, Eltabbakh GH (2001) Cavernous hemangioma of the cervix in association with focal nodular hyperplasia of the liver: a case report. J Reprod Med 46:1067–1070

    PubMed  CAS  Google Scholar 

  8. Virtanen A, Pukkala E, Auvinen A (2007) Angiosarcoma after radiotherapy: a cohort study of 332,163 Finnish cancer patients. Br J Cancer 97:115–117. doi:10.1038/sj.bjc.6603805

    Article  PubMed  CAS  Google Scholar 

  9. Thompson EW, Reich R, Shima TB, Albini A, Graf J, Martin GR et al (1988) Differential regulation of growth and invasiveness of MCF-7 breast cancer cells by antiestrogens. Cancer Res 48:6764–6768

    PubMed  CAS  Google Scholar 

  10. Tang Y, Liu W, Yu S, Wang Y, Peng O, Xiong Z et al (2007) A novel in vivo model of human hemangioma: xenograft of human hemangioma tissue on nude mice. Plast Reconstr Surg 120:869–878. doi:10.1097/01.prs.0000277661.49581.c9

    Article  PubMed  CAS  Google Scholar 

  11. Sun ZY, Yang L, Yi CG, Zhao H, Han DL, Yang T et al (2008) Possibilities and potential roles of estrogen in the pathogenesis of proliferation hemangiomas formation. Med Hypotheses 71:286–292. doi:10.1016/j.mehy.2008.02.015

    Article  PubMed  CAS  Google Scholar 

  12. Di Tommaso L, Scarpellini F, Salvi F, Ragazzini T, Foschini MP (2000) Progesterone receptor expression in orbital cavernous hemangiomas. Virchows Arch 436:284–288. doi:10.1007/s004280050042

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luca Reggiani Bonetti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reggiani Bonetti, L., Boselli, F., Lupi, M. et al. Expression of estrogen receptor in hemangioma of the uterine cervix: reports of three cases and review of the literature. Arch Gynecol Obstet 280, 469–472 (2009). https://doi.org/10.1007/s00404-009-0928-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-009-0928-0

Keywords

Navigation