Differences Between Hemangiomas and Cherry Angiomas

“Cherry angiomas” and “hemangiomas” are two terms frequently encountered in daily life and represent common skin conditions. Many people, however, struggle to distinguish between the two. In fact, the distinction is minimal—cherry angiomas are a type of hemangioma. For definitive diagnosis, medical evaluation at a hospital is recommended. Below, we outline the major types and clinical features of hemangiomas.

Distinguishing Cherry Angiomas from Hemangiomas

Capillary Hemangioma

This tumor consists of numerous interlacing, dilated capillaries. Clinically, it appears as a bright red or purplish-red plaque, either flush with the skin surface or slightly elevated. Its borders are well-defined, though its shape is irregular and size variable. Compression with a finger causes blanching; color returns upon release of pressure.

Cavernous Hemangioma

Cavernous hemangiomas consist of enlarged vascular lumina and blood-filled sinusoids lined by endothelial cells. Lesions present as purple-red, dark-red, or bluish-red nodules or plaques of varying sizes. They are soft in consistency, with sinusoidal cavities of differing dimensions arranged in a sponge-like architecture, filled with venous blood and interconnected. The surface may appear hemispherical or lobulated; compression reduces volume. Most cases are solitary. Histopathologically, irregular, blood-filled vascular spaces are observed in the lower dermis and subcutaneous tissue, accompanied by proliferation of vascular adventitial cells. Clinically, these lesions manifest as asymptomatic, slowly enlarging, soft masses. When the head is lowered, the lesion enlarges due to passive congestion; returning to an upright position restores its original size. Superficial lesions exhibit bluish-purple discoloration of overlying skin or mucosa, whereas deeper lesions show normal-appearing skin. On palpation, the mass feels soft, ill-defined, and non-tender. Compression results in temporary shrinkage, with full rebound upon pressure release.

Arteriovenous (or “Cirsoid”) Hemangioma

This type arises primarily from abnormal arteriovenous anastomoses. The tumor protrudes above the skin surface, appearing beaded or worm-like. Palpation reveals pulsation and tremor; auscultation detects a bruit resembling a blowing sound. Occluding the feeding artery completely abolishes both pulsation and bruit.

The above outlines key clinical features of hemangiomas. In fact, cherry angiomas—essentially a subtype of hemangioma—typically require no treatment unless symptomatic or cosmetically concerning. Some cases even resolve spontaneously. However, prompt medical intervention is warranted if the lesion is extensive, rapidly progressive, or associated with complications.

We hope this information is helpful. Wishing you good health and happiness!