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Isolated conjunctival cavernous hemangioma: a rare case report.

Ali Tavallali¹, Zeinab Mousavi², Leila Rezaei³

¹Tavallali Eye Infirmary, Shiraz, Iran.

BMC Ophthalmology

|July 25, 2024

Summary

Conjunctival cavernous hemangioma, a benign vascular tumor, can mimic malignant conjunctival melanoma. Accurate diagnosis is crucial for appropriate treatment of these uncommon conjunctival lesions.

Keywords:

CMM Conjunctival cavernous hemangioma Conjunctival tumors Eye oncology

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Area of Science:

Ophthalmology
Oncology
Pathology

Background:

Vascular conjunctival tumors are rare and typically benign.
Conjunctival malignant melanoma (CMM) is a serious diagnosis requiring prompt management.
Distinguishing benign from malignant conjunctival masses is critical for patient outcomes.

Observation:

A 65-year-old male presented with a firm, dark-brown, non-mobile conjunctival mass.
Initial clinical suspicion was conjunctival malignant melanoma (CMM).
Ocular and systemic examinations were otherwise normal.

Findings:

Histopathological examination revealed dilated vascular channels consistent with cavernous hemangioma.
No evidence of malignancy was found, refuting the initial diagnosis of CMM.
The lesion was characterized by vascular channels, red blood cells, and fibrous interstitium.

Implications:

Conjunctival cavernous hemangioma can present with clinical features mimicking malignant conjunctival lesions.
This benign vascular tumor may be misdiagnosed as CMM or other aggressive conditions.
Accurate histopathological diagnosis is essential to avoid unnecessary aggressive treatment for benign conditions.