Oral Haemangioma

Abstract

Vascular anomalies comprise a widely heterogeneous group of tumours and malformations. Haemangioma is the most common benign tumour of vascular origin of the head and neck region. The possible sites of occurrence in oral cavity are lips, tongue, buccal mucosa, and palate. Despite its benign origin and behaviour, it is always of clinical importance to the dental profession and requires appropriate management. This case study reports a rare case of capillary haemangioma on the palatal gingiva in a 14-year-old female.

Capillary haemangioma on the palate: a diagnostic conundrum

“…This varied appearance, infrequent association with palatal gingival and tendency to mimic other lesions leads to confusion with other clinical entities, such as pyogenic granuloma, chronic inflammatory gingival hyperplasia, epulis granulomatosa, telegenctesia, angiosarcoma or squamous cell carcinoma 1 8. In the present case, with the clinical appearance, a working diagnosis of pyogenic granuloma was assumed; however, histopathological examination confirmed a diagnosis of capillary haemangioma.…”

Vascular Anomalies of the Maxillofacial Region: Diagnosis and Management

“…Some lesions of hemangiomas are mixed, which means that they have histologic components of both types [10] (Figures 3 and 4). Clinically, hemangiomas are characterized as a soft, smooth or lobulated, sessile or pedunculated mass and may be seen in any size from a few millimeters to several centimeters [12]. The color of the lesion ranges from pink to red or purple and blanches on the application of pressure; hemorrhage may occur either spontaneously or after minor trauma [3].…”

Pedunculated haemangioma of the palate

“…However, 10–20% of cases require treatment because of their size, location, stage of growth, behaviour and functional compromise 6. The range of treatment includes surgery, flashlamp-pulsed laser, intra-lesional injection of fibrosing agent, treatment with interferon α, electrocoagulation and radiation 11 12…”