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Ann Saudi Med 28(2) March-April 2008 www.kfshrc.edu.sa/annals 128 Ovarian hemangiomas are extremely rare tum mors, most of which are asymptomatic and of the cavernous type.1 Considering the rich vasm cular supply of the ovary, the low incidence of ovarian hemangiomas is somewhat surprising. There are about 50 documented cases in the literature. The 12 described in Table 1 were associated with gynecologic tract dism ease including endometrial hyperplasia, endometrial carcinoma and endometriosis.1m34 Ovarian hemangiom mas have been reported in both adults and children and most of the reported cases have been unilateral and small.2,3 Although often an incidental finding at operam tion, ovarian hemangioma may rarely be associated with gynecologic cancers.4m8 The tumor in our case was an additional and incidental finding in a surgical specimen removed because of a serous papillary carcinoma involvm ing the left tuba and ovary.

Ovarian hemangioma occurring synchronously with serous papillary carcinoma of the ovary and benign endometrial polyp