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

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.

Figure 1

Clinical aspect of the congenital hemangioma on the patient's face in November 2000.

Figure 2

Clinical view of the Capillary hemangioma.

Figure 3

OPG showing interdental diestema and localized bone loss in the regions of teeth #3 and #4.

Figure 4

Histopathological specimen; Capillary lumen formations in the deep connective tissue (×40 magnification, H-E staining).

Figure 5

The view of excised tissue and extracted tooth #4.

Figure 6

Immediate postoperative view following periodontal surgery.

Figure 7

Postoperative result 2 years following surgical periodontal therapy.

Figure 8

Postoperative OPG view two years after surgical periodontal therapy.