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Varadhan K, Elangovan R, J S, Nallathambi K, Maganti DC, Soman D. Management of Lobular Capillary Hemangioma Using Diode Laser: A Case Report. Cureus 2024; 16:e60068. [PMID: 38860103 PMCID: PMC11163851 DOI: 10.7759/cureus.60068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2024] [Accepted: 05/08/2024] [Indexed: 06/12/2024] Open
Abstract
This case report focuses on the clinical development of a 32-year-old female patient's lobular capillary hemangioma and provides valuable insights into the atypical nature of this tumor. Low-level laser therapy (LLLT) that follows diode laser intervention can be regarded as a novel and evidence-based approach to therapeutic management. The application of a diode laser causes the vascular elements that comprise the bulk of the lesion to coagulate, which in turn causes the lesion's size to decrease. The biological processes that lead to quick tissue regeneration are also activated by LLLT. The suggested therapeutic approach ensures that the patient will heal in the best possible way while also optimizing their comfort and safety. It extends beyond the mere removal of wounds. The case report demonstrates how well dual laser therapy works to lessen common postoperative issues that are commonly seen in traditional surgical therapies for lobular capillary hemangioma such as excessive bleeding and infection. The precise application of the diode laser minimizes damage to surrounding tissues, thereby enhancing the healing process. Additionally, following surgery, LLLT helps reduce pain and inflammation, which improves patient outcomes. The potential of diode laser and LLLT therapies for treating vascular lesions, including lobular capillary hemangioma, is evidenced by their therapeutic advantages. This encourages wider clinical applications and field research. The presented case report offers valuable clinical significance by highlighting an innovative therapeutic approach for lobular capillary hemangioma, a vascular lesion that can present challenges in management.
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Affiliation(s)
- Keerthika Varadhan
- Department of Periodontics, Adhiparasakthi Dental College and Hospital, Melmaruvathur, IND
| | - Ramnath Elangovan
- Department of Periodontology, School of Dentistry, University of Rwanda, Kigali, RWA
| | - Selvakumar J
- Department of Periodontics, Adhiparasakthi Dental College and Hospital, Melmaruvathur, IND
| | - Kowsalya Nallathambi
- Department of Periodontics, Adhiparasakthi Dental College and Hospital, Melmaruvathur, IND
| | - Dinesh C Maganti
- Department of Periodontology and Community Dentistry, School of Dentistry, University of Rwanda, Kigali, RWA
| | - Dona Soman
- Department of Prosthetic and Restorative Dentistry, School of Dentistry, University of Rwanda, Kigali, RWA
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Natarajan D, Muthukali S, Nachiappan N, Chiriyamkandath JL, Kannappan J. Isolated Focal Infantile Hemangioma of the Alveolar Ridge with Glucose Transporter-1 Reactivity: An Aberrant Presentation. Int J Clin Pediatr Dent 2021; 14:319-322. [PMID: 34413614 PMCID: PMC8343689 DOI: 10.5005/jp-journals-10005-1923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim and objective To give dental practitioners an insight into the unusual presentation of focal infantile hemangioma on the alveolar ridge showing immunoreactivity to glucose transporter-1 (GLT1). We also recommend the importance of using standardized terminologies to describe the type of hemangioma. Background One of the most commonly seen and misdiagnosed vascular tumors of the skin and soft tissues of the head and neck region in children are infantile hemangiomas. Infantile hemangiomas developing at extracutaneous locations such as the oral cavity are rare, especially without cutaneous involvement. Case description A 9-month-old infant girl presented to the Pediatric Dental Department with a swelling over the maxillary alveolar ridge. The solitary exophytic mass appeared after birth and gradually enlarged in size with episodes of bleeding during feeding. Clinical examination revealed a reddish-pink pedunculated mass that bled profusely on palpation. The lesion was excised by electrocautery and was found to be express glucose transporter-1 confirming the diagnosis of infantile hemangioma. The patient was followed up for 1 year and showed no recurrence. Conclusion Hemangiomas are usually misinterpreted to be pyogenic granulomas, vascular malformation, reactive granulation tissue, or congenital granular cell tumor. This report highlights the use of glucose transporter-1 when there is suspicion of hemangioma for immunohistochemical distinction from other histologically similar vascular lesions of the oral cavity. Clinical significance Dental surgeons treating vascular lesions of the oral cavity should advocate for surgical management techniques that also produce hemostasis due to the risk of intraoperative bleeding. How to cite this article Natarajan D, Muthukali S, Nachiappan N, et al. Isolated Focal Infantile Hemangioma of the Alveolar Ridge with Glucose Transporter-1 Reactivity: An Aberrant Presentation. Int J Clin Pediatr Dent 2021;14(2):319–322.
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Affiliation(s)
- Divya Natarajan
- Department of Pediatric Dentistry, Chettinad Dental College and Research Institute, Kancheepuram, Tamil Nadu, India
| | - Shanmugam Muthukali
- Department of Periodontics, Chettinad Dental College and Research Institute, Kancheepuram, Tamil Nadu, India
| | - Nachiammai Nachiappan
- Department of Oral Pathology, Chettinad Dental College and Research Institute, Kancheepuram, Tamil Nadu, India
| | - Joe Louis Chiriyamkandath
- Department of Pediatric Dentistry, Chettinad Dental College and Research Institute, Kancheepuram, Tamil Nadu, India
| | - Jayanthi Kannappan
- Department of Pediatric Dentistry, Chettinad Dental College and Research Institute, Kancheepuram, Tamil Nadu, India
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Derindağ G, Sarıca İ, Çağlayan F. Examination of oral hemangiomas by intraoral ultrasonography. Oral Radiol 2021; 37:687-692. [PMID: 33656695 DOI: 10.1007/s11282-021-00511-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 01/12/2021] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Oral hemangioma is a benign vascular tumor characterized by the presence of numerous blood vessels. We aimed to examine the clinical and ultrasonographic findings of patients diagnosed with oral hemangioma in our ultrasonography (USG) archive, retrospectively. METHODS This study was conducted by examining 20 patients diagnosed with oral hemangioma and underwent USG examination in the Department of Oral and Maxillofacial Radiology of Atatürk University Faculty of Dentistry from 2016 to 2020. All patients had intraoral and radiographic examinations. Patients pre-diagnosed clinically oral hemangioma were evaluated as intraoral with USG. The intraoral USG examinations were performed using both the B-mode and the color Doppler mode. RESULTS The mean age of the patients was 42.4 ± 19.14 years; 16 patients were female and four were male. The lesions were mostly observed on the alveolar mucosa (30%), followed by the buccal mucosa (25%), the lower lip (15%), the mouth floor (15%), the tongue (15%). In intraoral USG examinations of all oral hemangiomas, we detected submucosal located, well-defined, lobulated, non-capsule, hypo-isoechoic, heterogeneous lesion areas. Additionally, while we detected only peripheral blood flow in 6 (30%) of 20 patients, we detected both internal and peripheral blood flow in 14 (70%). CONCLUSIONS In our study, the examination of the oral hemangiomas with the intraoral probe and the color Doppler mode was very helpful in the differential diagnosis. Although histopathology has an important place in definitive diagnosis, particularly intraoral USG can provide sufficient information for the diagnosis of oral hemangiomas.
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Affiliation(s)
- Gözde Derindağ
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Pamukkale University, Denizli, Turkey.
| | - İrfan Sarıca
- Health Cares Vocational School, Bezmialem Vakıf University, İstanbul, Turkey
| | - Fatma Çağlayan
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ataturk University, Erzurum, Turkey
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Barrón-Peña A, Martínez-Borras MA, Benítez-Cárdenas O, Pozos-Guillén A, Garrocho-Rangel A. Management of the oral hemangiomas in infants and children: Scoping review. Med Oral Patol Oral Cir Bucal 2020; 25:e252-e261. [PMID: 31967983 PMCID: PMC7103441 DOI: 10.4317/medoral.23329] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Accepted: 11/11/2019] [Indexed: 02/07/2023] Open
Abstract
Background Pediatric oral hemangiomas are benign vascular tumors that can be seen from birth, particularly in females. Hemangiomas are most frequent located in the lips and usually regress spontaneously, thus they do not require any type of treatment in most cases. The present scoping review pretended to synthesize the most relevant and currently available information from the international dental literature published in the last 25 years, regarding the management of pediatric oral hemangiomas.
Material and Methods An exhaustive literature search was performed in four electronic databases (PubMed, Embase, Google Scholar, and Cochrane). Initially, 241 related titles and abstracts were found. After the duplication removal, screening, and assessment processes, 37 records were included for full-text reading. Finally, 20 articles in the English language were included in the scoping review for data extraction and assessment.
Results We identified and subsequently discussed three fundamental issues associated to the management of pediatric oral hemangiomas: (i) clinical characteristics, differential diagnosis, and histopathological findings; (ii) evolution and complications; and (iii) current available treatment modalities.
Conclusions Although these like-tumor lesions are uncommon, pediatric dentistry practitioners must be familiar with the inherent clinical characteristics, diagnosis approaches, and currently available treatment options. Nowadays, surgical removal and non-invasive medical/pharmacologic therapies are the best management modalities for pediatric oral hemangiomas. Key words:Vascular tumors, hemangioma, oral management, children, scoping review.
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Affiliation(s)
- A Barrón-Peña
- Facultad de Estomatología Universidad Autónoma de San Luis Potosí Av. Dr. Manuel Nava #2, Zona Universitaria C.P. 78290, San Luis Potosí, S.L.P. México
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Update from the 4th Edition of the World Health Organization of Head and Neck Tumours: Tumours of the Oral Cavity and Mobile Tongue. Head Neck Pathol 2017; 11:33-40. [PMID: 28247230 PMCID: PMC5340733 DOI: 10.1007/s12105-017-0792-3] [Citation(s) in RCA: 66] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2016] [Accepted: 02/02/2017] [Indexed: 12/27/2022]
Abstract
There have been several additions and deletions in Chapter 4 on Tumours of the oral cavity and mobile tongue in the 2017 fourth edition of the World Health Organization Classification of Tumours of the Head and Neck. This chapter excludes the oropharynx, which now is a stand-alone chapter acknowledging the uniqueness of the oropharynx from the oral cavity. New entries in Chapter 4 include rhabdomyoma, haemangioma, schwannoma, neurofibroma and myofibroblastic sarcoma in the section titled Soft tissue and neural tumours. Discussion of salivary gland entities have been reduced and includes mucoepidermoid carcinoma and pleomorphic adenoma as the other salivary gland types are discussed elsewhere. In the Haematolymphoid tumours section, like the salivary gland section, only tumors that commonly present in the oral cavity are discussed in Chapter 4. Excluded entities in the updated classification include papillary hyperplasia, median rhomboid glossitis, keratoacanthoma, focal oral mucinosis, and secondary tumors. This article will summarize the changes in the new classification since the 2005 edition focusing on selected entities that have had significant changes along with new entries.
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Singh P, Parihar AS, Siddique SN, Khare P. Capillary haemangioma on the palate: a diagnostic conundrum. BMJ Case Rep 2016; 2016:bcr2015210948. [PMID: 26884070 PMCID: PMC5483575 DOI: 10.1136/bcr-2015-210948] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/27/2016] [Indexed: 11/04/2022] Open
Abstract
Haemangiomas are benign tumours of blood vessel origin and are classified as capillary, cavernous or central. They appear as flat or raised reddish-blue lesions and are generally solitary, affecting women in younger age groups. The tumour may be slowly progressive, involving extensive portions of the superficial and deep blood vessels, and affect function, depending on location. They are common in the head and neck region but rarely in the oral cavity. Oral lesions generally appear on the lips, buccal mucosa and tongue, but rarely on the palate. As the lesion can be confused with pyogenic granuloma, histopathological examination is important for a final diagnosis. The case presented here signifies a rare location of a capillary haemangioma on the palate in a middle aged man. The lesion was diagnosed by histopathology after surgical excision.
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Affiliation(s)
- Pooja Singh
- Department of Oral Medicine and Radiology, Maharana Pratap College of Dental Sciences and Research Centre, Gwalior, Madhya Pradesh, India
| | - Anuj Singh Parihar
- Deaprtment of Periodontics, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India
| | - Sana Noor Siddique
- Department of Oral Medicine and Radiology, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India
| | - Pooja Khare
- Department of Oral Medicine and Radiology, People's Dental Academy, Bhopal, Madhya Pradesh, India
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Abstract
Intraosseous hemangioma is a benign vascular neoplasm, which is mostly seen in vertebrae, maxillofacial bones, and long bones. Intraosseous hemangioma is rarely seen on jaw bones compared to other skeletal bones and usually occurs in the cavernous form. Capillary intraosseous hemangioma of jaws is an uncommon form of intraosseous hemangioma and has not been thoroughly described so far. In this study, a case of capillary intraosseous hemangioma of the mandible was presented with relevant literature review.
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Affiliation(s)
- Omur Dereci
- Department of Oral and Maxillofacial Surgery, Eskişehir Osmangazi University, Eskişehir, Turkiye
| | | | - Sinan Ay
- Department of Oral and Maxillofacial Surgery, Eskişehir Osmangazi University, Eskişehir, Turkiye
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Kumari VRV, Vallabhan CG, Geetha S, Nair MS, Jacob TV. Atypical Presentation of Capillary Hemangioma in Oral Cavity- A Case Report. J Clin Diagn Res 2015; 9:ZD26-8. [PMID: 26557632 DOI: 10.7860/jcdr/2015/14276.6691] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Accepted: 08/19/2015] [Indexed: 11/24/2022]
Abstract
Capillary Haemangioma is a benign vascular tumour characterized by proliferation of blood vessels that are primarily reported to be a developmental hamartomatous lesion of infancy and childhood. Pyogenic granuloma is a non-neoplastic benign lesion found in the oral cavity having a striking predilection for occurrence in the gingiva. The present case report is an atypical presentation of capillary haemangioma on gingiva which is considered to be extremely rare. The lesion in this case was clinically diagnosed as pyogenic granuloma but histopathologically as capillary haemangioma. These lesions present as a diagnostic dilemma to the clinician and can lead to serious complications if not carefully managed.
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Affiliation(s)
- Veena Raj Vasantha Kumari
- Post Graduate Student, Department of Periodontics, Sri Sankara Dental College , Vennicode, Trivandrum, Kerala, India
| | - Chitra Girija Vallabhan
- Senior Lecturer, Department of Periodontics, Sri Sankara Dental College , Vennicode, Trivandrum, Kerala, India
| | - Seema Geetha
- Professor, Department of Periodontics, Sri Sankara Dental College , Vennicode, Trivandrum, Kerala, India
| | - Manoj S Nair
- Professor, Department of Oral Pathology, Sri Sankara Dental College , Vennicode, Trivandrum, Kerala, India
| | - Tharun Varghese Jacob
- Reader, Department of Oral Pathology, Sri Sankara Dental College , Vennicode, Trivandrum, Kerala, India
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Reddy KVK, Roohi S, Maloth KN, Sunitha K, Thummala VSR. Lipoma or hemangioma: A diagnostic dilemma? Contemp Clin Dent 2015; 6:266-9. [PMID: 26097370 PMCID: PMC4456757 DOI: 10.4103/0976-237x.156064] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Lipomas and hemangiomas are well-known benign lesions of the body. However, their occurrence in the oral cavity is rare. Lipoma accounts for 1-4% of benign neoplasms of mouth affecting predominantly the buccal mucosa, floor of mouth and tongue. Hemangiomas occur mostly on the lips, buccal mucosa, tongue, and palate. Lipomas when superficially placed show yellowish surface discoloration and hemangiomas usually have reddish blue to deep blue color. Here, we report an unusual case of benign tumor occurring in the buccal vestibule.
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Affiliation(s)
- K Vinay Kumar Reddy
- Department of Oral Medicine and Radiology, Mamata Dental College and Hospital, Khammam, Telangana state, India
| | - Shameena Roohi
- Department of Oral Medicine and Radiology, Mamata Dental College and Hospital, Khammam, Telangana state, India
| | - Kotya Naik Maloth
- Department of Oral Medicine and Radiology, Mamata Dental College and Hospital, Khammam, Telangana state, India
| | - K Sunitha
- Department of Oral Medicine and Radiology, Mamata Dental College and Hospital, Khammam, Telangana state, India
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Dahiya R, Kathuria A. Extragingival pyogenic granuloma histologically mimicking capillary hemangioma. J Indian Soc Periodontol 2014; 18:641-3. [PMID: 25425828 PMCID: PMC4239756 DOI: 10.4103/0972-124x.142463] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2013] [Accepted: 02/17/2014] [Indexed: 11/04/2022] Open
Abstract
Pyogenic granuloma is a tumor-like proliferation to a non-specific infection. The tumor-like growth is considered to be non-neoplastic in nature and presents in various clinical and histological forms in the oral cavity. Hemangiomas are benign vascular anomalies characterized by benign proliferation of blood vessels. The aim of this article is to drive attention toward the uncommon location of capillary hemangioma on the palate. In spite of their benign nature, intraoral capillary hemangiomas are always clinically important to be diagnosed well in time and suitably managed. The lesion in the present case although clinically diagnosed as pyogenic granuloma gave a histological picture of capillary hemangioma when surgically excised.
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Affiliation(s)
- Ritu Dahiya
- Department of Periodontics, P. D. M. Dental College, Bahadurgarh, Haryana, India
| | - Abhinav Kathuria
- Department of Periodontics, P. D. M. Dental College, Bahadurgarh, Haryana, India
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Sobhana CR, Beena VT, Soni A, Choudhary K, Sapru D. Hemangiolymphangioama of buccal mucosa: Report of a rare case and review of literature on treatment aspect. Natl J Maxillofac Surg 2013; 3:190-4. [PMID: 23833496 PMCID: PMC3700155 DOI: 10.4103/0975-5950.111379] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Hemangiomas are lesions that are not present at birth. They manifest within first month of life, exhibit a rapid proliferative phase, and slowly involute to non-existent. Hemangiomas of the oral cavity are not common pathological entities, but the head and neck are common sites. Furthermore some time histologically lymphatic channels may be evident in hemangiomas, and then it will be categorized according predominant component, e.g.; hemangiolymphangiomas or lymphangiohemangiomas, vice versa is true for lymphangiomas. Most true hemangiomas involute with time, but 10-20% of true hemnagioma in completely involute and required post- adolescent ablative treatment. In the present article we are reporting a case of hemangiolypmangiomas of left buccal mucosa in an 18-year-old male patient. We have also reviewed various treatment modalities and their clinical implication.
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Affiliation(s)
- C R Sobhana
- Department of Oral and Maxillofacial Surgery, Government Dental College, Trivandrum, India
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12
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Patil A, Pattanshetti C, Varekar A, Huddar SB. Oral capillary haemangioma mimicking pyogenic granuloma: a challenge for diagnosis and management. BMJ Case Rep 2013; 2013:bcr-2012-007874. [PMID: 23417375 DOI: 10.1136/bcr-2012-007874] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Pyogenic granuloma (PG) is a localised granulation tissue overgrowth, in reaction to mild irritation. The aetiology of the lesion is not known, though it was originally believed to be a botryomycotic infection. The clinical diagnosis of such a lesion can be quite challenging. The purpose of this article is to report an unusual case of benign tumour in an adolescent boy who was clinically diagnosed as PG and histopathologically as capillary haemangioma. PG being a benign lesion; surgical excision was performed and predisposing irritants were removed.
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Affiliation(s)
- Anil Patil
- Department of Pedodontics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Sangli, Maharashtra, India.
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Abstract
Pyogenic granulomas and hemangiomas of oral cavity are well-known benign lesions. Although pyogenic granuloma is known to show a striking predilection for the gingiva and capillary hemangioma for lips, check, and tongue, palatal occurrence of these lesions is extremely rare. The clinical diagnosis of such an uncommon occurrence can be quite challenging as they sometimes may mimic more serious lesions such as malignancies. The purpose of this article is to report an unusual case of benign tumor occurring on hard palate which was clinically diagnosed as pyogenic granuloma and histopathologically as capillary hemangioma.
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Affiliation(s)
- M M Rachappa
- Department of Pediatric and Preventive Dentistry, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth, Pipariya, Vadodara, Gujarat - 391 760, India
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Abstract
Introduction Hemangioma is a relatively common benign proliferation of blood vessels that primarily develops during childhood. Two main forms of hemangioma recognized: capillary and cavernous. The capillary form presents as a flat area consisting of numerous small capillaries. Cavernous hemangioma appears as an elevated lesion of a deep red color, and consists of large dilated sinuses filled with blood. The purpose of the study was to report the case of a capillary hemangioma in a patient and to describe the successful treatment of this case. Case presentation The patient was a 19-year-old female who presented herself to the Atatürk University, Faculty of Dentistry, Department of Periodontology, with the complaint of bleeding and slowly enlarging mass on the upper right molar region. The lesion was diagnosed as capillary hemangioma after clinical examination and biopsy. Treatment consisted of scaling, root planning and surgical excision. Four months after surgery healing was occurred and two years later area of the lesion appeared completely normal as clinically. Conclusions The surface is highly keratinized and no further growth was evidenced during the two year of follow-up. Early detection and biopsy is necessary to determine the clinical behavior of the tumor and potential dentoalveolar complications.
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Dilsiz A, Aydin T, Gursan N. Capillary hemangioma as a rare benign tumor of the oral cavity: a case report. CASES JOURNAL 2009; 2:8622. [PMID: 20181211 DOI: 10.1186/1757-1626-0002-0000008622] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Received: 07/14/2009] [Accepted: 08/13/2009] [Indexed: 11/10/2022]
Abstract
INTRODUCTION Hemangioma is a relatively common benign proliferation of blood vessels that primarily develops during childhood. Two main forms of hemangioma recognized: capillary and cavernous. The capillary form presents as a flat area consisting of numerous small capillaries. Cavernous hemangioma appears as an elevated lesion of a deep red color, and consists of large dilated sinuses filled with blood. The purpose of the study was to report the case of a capillary hemangioma in a patient and to describe the successful treatment of this case. CASE PRESENTATION The patient was a 19-year-old female who presented herself to the Atatürk University, Faculty of Dentistry, Department of Periodontology, with the complaint of bleeding and slowly enlarging mass on the upper right molar region. The lesion was diagnosed as capillary hemangioma after clinical examination and biopsy. Treatment consisted of scaling, root planning and surgical excision. Four months after surgery healing was occurred and two years later area of the lesion appeared completely normal as clinically. CONCLUSIONS The surface is highly keratinized and no further growth was evidenced during the two year of follow-up. Early detection and biopsy is necessary to determine the clinical behavior of the tumor and potential dentoalveolar complications.
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Affiliation(s)
- Alparslan Dilsiz
- Department of Periodontology, Faculty of Dentistry, Ataturk University, 25240, Erzurum/Turkey.
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