Intraosseous Cavernous Hemangioma in the Mandible: A Case Report

Abstract

Intraosseous vascular lesions are rare conditions. They are most commonly seen in the vertebral column and skull; nevertheless, the mandible is a quite rare location. In this report, we present a case of intraosseous cavernous hemangioma in the mandible and discuss the clinical and radiological features. A 28-year-old male patient attended to our clinic with a complaint of painless swelling of mandible. Clinical evaluation revealed a bone-hard, smooth-surfaced, immobile mass in the left mandibular lingual area. The patient was evaluated with panoramic and occlusal radiography and computed tomography. The lesion surgically excised and pathological examination revealed an intraosseous cavernous hemangioma. Follow-up imaging 1 year later with cone beam computed tomography revealed recurrence of the lesion. The conclusion of this paper; when a bone hard, well-shaped mass was seen in the mandible, the possibility of intraosseous hemangioma must be remembered and before surgical procedure detailed radiographic evaluation should be performed. Key words:Hemangioma, intraosseous, mandible, cavernous, cbct.

Diagnostic challenge and management of intraosseous mandibular hemangiomas: a case report and literature review

“…Capillary hemangioma, characterized by the presence of tiny, fine blood vessels, is usually present at birth, affecting soft tissue, and usually decreases in size during the post-natal phase. Most cavernous hemangioma appears in adulthood and represents the majority of intraosseous hemangiomas in the maxillofacial massif 2 , as in the present case. Nevertheless, although rare, a few cases of capillary intraosseous hemangioma have been reported, for example, by Dereci et al 11 .…”

“…Hemangiomas are benign vascular neoplasias characterized by an abnormal proliferation of blood vessels. They can occur in any vascularized tissue, including skin, subcutaneous tissue, muscle, and bone; intraosseous hemangiomas represent only 1% of all hemangiomas 2 , 9 . When they are located in bone tissue, they generally appear in the spinal column or skull; hemangioma is extremely rare in the jaw.…”

“…Their pathogenesis remains unknown. Some authors note localized trauma as a possible cause as it is not uncommon for hemangioma patients to present antecedents of trauma 2 , 3 .…”

“…Although hemangiomas are relatively frequent in soft tissues, their occurrence in bone tissue is quite rare and usually located in the spinal column or skull 1 , 2 .…”

“…Diagnosis of this tumor is very complicated, as it is generally asymptomatic until it reaches a certain size and the patient starts to notice a slow-growing swelling, which may be accompanied by occasional pain, speech difficulties, or esthetic deformity 2 .…”