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Cerqueira É, Correia S, Ramalhosa F, Lopes T, Mendes Abreu J. Challenges and Management of Capillary Intraosseous Hemangioma in the Mandibular Symphysis: A Case Report. Cureus 2024; 16:e58035. [PMID: 38738024 PMCID: PMC11088288 DOI: 10.7759/cureus.58035] [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] [Accepted: 04/11/2024] [Indexed: 05/14/2024] Open
Abstract
Capillary intraosseous hemangioma is a benign vascular neoplasm that affects bone tissue, yet its occurrence in the jaw bones has been seldom reported in the literature. We present a case of a capillary intraosseous hemangioma located in the mandibular symphysis of a 28-year-old male. Initially addressed by the patient's dentist as an infectious lesion of endodontic origin, the sudden worsening of the condition, marked by the development of a rapidly expanding exophytic mandibular lesion and tooth mobility, led to the consideration of various potential diagnoses. Subsequently, an incisional biopsy was performed, triggering multiple episodes of recurrent bleeding, leading to several visits to the emergency department, and prompting an urgent status upgrade for the patient. Upon the histological diagnosis of vascular neoplasm, the patient underwent the excision of the lesion, with a favorable and uneventful evolution, although with expected sequelae. As a result, a temporary prosthetic solution, comprising a Maryland Bridge, was implemented, with plans for guided bone regeneration and implant-supported fixed dental prostheses currently in progress. This case underscores the diagnostic and therapeutic challenges associated with this rare condition. Consequently, achieving the optimal outcome for the patient largely depends on a multidisciplinary approach, emphasizing the critical importance of thorough preoperative assessment, along with a well-devised treatment plan and rapid intervention.
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Affiliation(s)
| | | | - Fátima Ramalhosa
- Pathology, Clinical and Academic Centre of Coimbra, Coimbra, PRT
| | - Teresa Lopes
- Maxillofacial Surgery, ULS Coimbra, Coimbra, PRT
| | - João Mendes Abreu
- Faculty of Medicine, Clinical and Academic Centre of Coimbra, Coimbra, PRT
- Stomatology, Clinical and Academic Centre of Coimbra, Coimbra, PRT
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Warrier S A, Muthukumaran V, Venkatramakrishnan A, CV D, H T, Santhanakrishnan M. Capillary Hemangioma Managed With Laser Ablation: A Case Report. J Lasers Med Sci 2023; 14:e39. [PMID: 38028886 PMCID: PMC10658107 DOI: 10.34172/jlms.2023.39] [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: 02/23/2023] [Accepted: 07/26/2023] [Indexed: 12/01/2023]
Abstract
Introduction: Hemangiomas are hamartomatous benign tumours of the vascular tissue, which are common among infants and adolescents and are found in the head and neck region. Oral hemangiomas are infrequently encountered in the palate. Baseline soft tissue imaging must be considered for an appropriate diagnosis and treatment approach. Case Report: A 68-year-old female presented with a painless growth in the roof of her mouth that gradually increased in its size. She was subjected to intraoral ultrasonography and was diagnosed with capillary hemangioma. In this instance, laser ablation was chosen as the preferred treatment due to the complications associated with the conventional surgery. Conclusion: This case report enlightens the systematic diagnostic approach and treatment plan.
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Affiliation(s)
- Aravind Warrier S
- Department of Oral Medicine and Radiology, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai-600116, Tamil Nadu, India
| | - Vaishnavi Muthukumaran
- Department of Oral Medicine and Radiology, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai-600116, Tamil Nadu, India
| | - Aparna Venkatramakrishnan
- Department of Periodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai-600116, Tamil Nadu, India
| | - Divyambika CV
- Department of Oral Medicine and Radiology, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai-600116, Tamil Nadu, India
| | - Thamizhchelvan H
- Department of Oral Pathology and Microbiology, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai-600116, Tamil Nadu, India
| | - Muthukumar Santhanakrishnan
- Department of Periodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai-600116, Tamil Nadu, India
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Nair PK, Varma BR, Veeraraghavan R, Janardhanan M. Canalicular adenoma: palatal presentation of an uncommon lesion. BMJ Case Rep 2021; 14:e243319. [PMID: 34531232 PMCID: PMC8449946 DOI: 10.1136/bcr-2021-243319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2021] [Indexed: 11/04/2022] Open
Abstract
Canalicular adenoma is a unique, rare, benign salivary gland neoplasm whose reported prevalence varies in different studies. According to literature, this neoplasm has a marked predilection to occur in the upper lip of elderly women. Histological features are usually distinctive and diagnostic. This neoplasm has good prognosis after conservative surgical management but the propensity of multifocal nature and recurrence of this lesion mandates regular follow-up. This case report illustrates the case of a canalicular adenoma in the palate in a 71-year-old male patient. Here, we discuss the differential diagnosis with a brief review of literature.
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Affiliation(s)
- Priya K Nair
- Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Amrita Institute of Medical Sciences, Cochin, India
| | - Beena R Varma
- Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Amrita Institute of Medical Sciences, Cochin, India
| | - Ravi Veeraraghavan
- Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Amrita Institute of Medical Sciences, Cochin, India
| | - Mahija Janardhanan
- Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Amrita Institute of Medical Sciences, Cochin, India
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Sharma SR, Mehra A, Karjodkar FR, Sansare KP. Atypical extragingival occurrence of lobular capillary hemangioma: A report of two cases. J Indian Soc Periodontol 2021; 25:254-257. [PMID: 34158694 PMCID: PMC8177180 DOI: 10.4103/jisp.jisp_528_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 12/25/2020] [Accepted: 01/26/2021] [Indexed: 12/21/2022] Open
Abstract
Capillary hemangiomas and pyogenic granuloma (PG) are well-recognized benign entities of the oral cavity which are vascular in origin. PG is said to have a predilection for gingival area, whereas capillary hemangioma involves the lips, cheek, and tongue. They may mimic more serious conditions such as malignancies making the clinical diagnosis quite challenging. There have been cases reported where PG was found on extra-gingival sites such as the palate, lips, and tongue. We present the two cases of lobular capillary hemangioma (LCH) on extragingival sites, namely the palate and buccal mucosa, which manifested as a different lesion clinically and histopathological examination was indicative of LCH. The cases reported here show that relatively common pathologies can present on rare or atypical regions inside the oral cavity, and hence, it is imperative for the clinician to consider such lesions while formulating a diagnosis.
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Affiliation(s)
- Sneha R Sharma
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Dr. A. L Nair Road, Mumbai Central, Mumbai, Maharashtra, India
| | - Archana Mehra
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Dr. A. L Nair Road, Mumbai Central, Mumbai, Maharashtra, India
| | - Freny R Karjodkar
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Dr. A. L Nair Road, Mumbai Central, Mumbai, Maharashtra, India
| | - Kaustubh P Sansare
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Dr. A. L Nair Road, Mumbai Central, Mumbai, Maharashtra, India
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Portaro S, Naro A, Guarneri C, Di Toro G, Manuli A, Calabrò RS. Hemangiomas of the tongue and the oral cavity in a myotonic dystrophy type 1 patient: A case report. Medicine (Baltimore) 2018; 97:e13448. [PMID: 30508964 PMCID: PMC6283126 DOI: 10.1097/md.0000000000013448] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE Myotonic dystrophy type 1 (DM1) is an autosomal dominant disease caused by a cytosine, guanine, thymine (CTG) trinucleotide repeat expansion in the non-coding region of dystrophia myotonica protein kinase gene, causing a multisystem involvement. To date, few studies have been performed to evaluate skin features in DM1 patients, but none reported on the possible association between the disease and tongue hemangiomas. PATIENTS CONCERNS We report a case of a 63-year-old woman affected by DM1 and presenting, at the intraoral examination, several swelling and buish lesions occurring on buccal and palatal mucosa, and in the anterior two-thirds and margins of the tongue. DIAGNOSIS Multiple tongue hemangiomas in DM1 patient. INTERVENTIONS Color Doppler ultrasound revealed hypoechoic lesions with intermittent color picking suggestive of vascular lesion. Surgical excision was performed under general anesthesia. Histopathological examination was compatible with the diagnosis of cavernous hemangiomas. OUTCOMES At 6 months follow-up, a part from the cosmetic deformity, patient's hemangiomas did not bleed, but caused functional problems with speaking, mastication, and deglutition, in addition to the same symptoms induced by DM1. LESSONS This case may add new details to better characterize the DM1 phenotype, suggesting that even tongue hemangiomas may be part of the DM1 multisystem involvement.
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Affiliation(s)
- Simona Portaro
- Istituto di Ricovero e Cura a Carattere Scientifico Centro Neurolesi “Bonino-Pulejo”
| | - Antonino Naro
- Istituto di Ricovero e Cura a Carattere Scientifico Centro Neurolesi “Bonino-Pulejo”
| | - Claudio Guarneri
- Department of Clinical and Experimental Medicine - Section of Dermatology, University of Messina, Messina
| | | | - Alfredo Manuli
- Istituto di Ricovero e Cura a Carattere Scientifico Centro Neurolesi “Bonino-Pulejo”
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Rivera C, Droguett D, Arenas-Márquez MJ. Oral mucosal lesions in a Chilean elderly population: A retrospective study with a systematic review from thirteen countries. J Clin Exp Dent 2017; 9:e276-e283. [PMID: 28210449 PMCID: PMC5303331 DOI: 10.4317/jced.53427] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2016] [Accepted: 08/22/2016] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The oral examination is an essential part of the multidisciplinary medical care in elderly people. Oral mucosal lesions and normal variations of oral anatomy (OMLs) are very common in this people, but few studies have examined the frequency and prevalence of these conditions worldwide and less in Chile. The aim of this research was to evaluate the frequency of OMLs in a Chilean elderly population. MATERIAL AND METHODS It was conducted a retrospective study (Talca, Chile). Two hundred seventy-seven OMLs were classified in groups and anatomical sites. In order to contextualize our numbers, we made a systematic review using Publish or Perish software, Google Scholar and InteractiVenn. RESULTS The most prevalent OMLs groups were soft tissue tumors, epithelial pathology, facial pain and neuromuscular diseases, and dermatologic diseases. The most frequent OMLs included irritation fibroma (30 patients, 10.8%), hemangioma (20, 7.2%), burning mouth syndrome (20 cases, 7.2%), oral lichen planus (12, 4.3%) and epulis fissuratum (12, 4.3%). In the systematic review, 75 OMLs were relevant and the more studied pathologies were traumatic ulcerations (11 of 15 articles), oral lichen planus (10/15), irritation fibroma, melanotic pigmentations, and recurrent aphthous stomatitis (9/10, respectively). Considering all included articles, most frequent OMLs in elderly people included denture-related stomatitis (13.3%), irritation fibroma (8.7%) and fissured tongue (6.3%). CONCLUSIONS The results reflect the frequency of OMLs diagnosed in a specialized service in south of Chile and many countries around the world. These numbers will allow the establishment of preventive politics and adequacy of the clinical services. Key words:Oral mucosal lesions, elderly people, Chilean population, frequency, systematic review.
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Affiliation(s)
- César Rivera
- Department of Basic Biomedical Sciences, Faculty of Health Sciences, University of Talca (UTALCA), Talca, Chile; Department of Oral Diagnosis, School of Dentistry (FOP), University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil
| | - Daniel Droguett
- Department of Stomatology, Faculty of Health Sciences, University of Talca (UTALCA), Talca, Chile
| | - María-Jesús Arenas-Márquez
- Gerontology Program, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil
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