A hemangioma is a benign vascular neoplasm that may be present at birth or that may arise later in life. Hemangiomas on the female genital tract represent a heterogeneous group.

• Infantile hemangiomas are usually noticed at approximately 2-3 weeks of life.
• Cavernous hemangiomas are deeper tumors. While they may represent deep infantile hemangiomas, some reported cavernous hemangiomas represent venous malformations rather than true neoplasms.
• Lobular capillary hemangiomas (pyogenic granulomas) are acquired hemangiomas that usually present later in adulthood. They are typically multiple in this location, but solitary lesions have also been reported. Patients may present noting a change in appearance of the vulva, abnormal bleeding, ulceration, or pain with intercourse.

In general, cervical and vaginal hemangiomas are much rarer than vulval hemangiomas, but they do have a higher risk of causing significant bleeding. Significant lesions involving the genital tract are rare occurrences.