Rare benign tumours of oral cavity – capillary haemangioma of palatal mucosa: a case report

Abstract

Haemangiomas are benign tumours composed of blood vessels, they are probably developmental rather than neoplastic in origin. Haemangiomas are often present at birth but may become more apparent during life. The tumours appear as a flat or raised reddish-blue lesions and are generally solitary. They are occasionally seen on the palatal mucosa. Haemangiomas are classified on the basis of their histological appearance as capillary, mixed, cavernous or a sclerosing variety that tends to undergo fibrosis. Their differential clinical diagnosis is based on appearance. The tumours may be slowly progressive, involving extensive portions of the superficial and deep blood vessels. Function may be affected where development of the lesion is extra-invasive. Colour change on pressure is a common finding with return to the original colour on withdrawal of pressure. The case presented here was referred because of swelling and recurrent periodontal bleeding. The lesion was diagnosed as a capillary haemangioma through histopathology. Although different therapeutic procedures have been reported, in this case surgical excision was carried out under general anaesthesia following hospitalization. Despite their benign origins and behaviour, haemangiomas in the region of oral cavity are always of clinical importance to the dental profession and require appropriate clinical management. Dental practitioners and oral surgeons need to be aware of these lesions because they may pose serious bleeding risks.

Capillary hemangioma as a rare benign tumor of the oral cavity: a case report

“…They usually cover a large site, may be macular or raised and usually resolve progressively in childhood [2,3]. They may occur in the oral and maxillofacial region including gingiva, palatal mucosa, lips, jawbone, and salivary glands [1,5,7,10,15,16]. Apart from the oral cavity, capillary hemangioma developed at other sites such as eyelid, cheek and cauda equine were reported [1,17].…”

“…There are many clinical features of capillary hemangioma such as asymmetry of the face, spontaneous bleeding, pain, mobility of teeth, blanching of tissue, pulsation, expansion of bone, paresthesia, early exfoliation of primary teeth, delayed eruption, root resorption, and missing teeth [1,4,5,7,16]. In the case presented here, the patient has facial asymmetry, spontaneous bleeding, pain, mobility of tooth #4, blanching of tissue, and missing teeth.…”

“…They may be cutaneous, involving skin, lips and deeper structures; mucosal, involving the lining of the oral cavity; intramuscular, involving masticator and perioral muscles; or intra-osseous, involving mandible and/or maxilla [4,5]. …”

Hemangiolymphangioama of buccal mucosa: Report of a rare case and review of literature on treatment aspect

“…[19] They may occur in the oral and maxillofacial region including gingiva, palatal mucosa, lips, jawbone, and salivary glands. [31011121314] The occurrence of hemangioma with its primary location on gingival tissues seems to be extremely rare. There are many clinical features of capillary hemangioma such as asymmetry of the face, spontaneous bleeding, pain, mobility of teeth, blanching of tissue, pulsation, expansion of bone, paresthesia, early exfoliation of primary teeth, delayed eruption, root resorption, and missing teeth.…”

“…They may be cutaneous, involving skin, lips and deeper structures; mucosal, involving the lining of the oral cavity; intramuscular, involving masticator and perioral muscles; or intra-osseous, involving mandible and/or maxilla. [234]…”