Cavernous hemangiomas are relatively rare vascular malformations especially in an adult. The childhood hemangioma generally regresses spontaneously. We present the case report of a 52-year-old male patient, who had a hemangioma from the childhood and it had grown to such a large size so as to cause extreme cosmetic deformity for the patient. The long standing duration of almost 45 years and the extremely large size of the hemangioma make it a very rare case.