Diagnosis and Treatment of Oral Capillary Hemangioma: A Case Report

Year 2023, Volume: 16 Issue: 1, 90 - 93, 30.04.2023

Mert Akbaş , Emre Haylaz , Zülfikar Karabıyık , Gediz Geduk

https://doi.org/10.52976/vansaglik.1158839

Abstract

Hemangiomas are benign blood vessel proliferations that usually occur in childhood. The incidence in women is about two times higher than in men. Although hemangiomas are usually asymptomatic, intervention may be required due to their localization and size. Early diagnosis, and treatment are the key factors to prevent complications.
A 48 year old female patient was admitted to our clinic with the complaint of painless swelling in the mouth. As a result of the intraoral examination, an ulcerous lesion of 4 cm in diameter was detected in the posterior region of the left mandible, on the alveolar crest, raised from the surface, red-pink color. As a result of the biopsy, specimen was diagnosed as ulcerated capillary hemangioma. The lesion was completely excised under local anesthesia with an electrocautery device, and uneventful recovery was achieved. No recurrence was observed in the 6-month follow-up period. Regular follow-up examinations were recommended to the patient.
The aim of this case report is to present information about the diagnosis, treatment and clinical follow-up of capillary hemangioma on the alveolar crest in the mouth

Keywords

Hemangioma, Biopsy, Pathology, Oral

Project Number

yok

Oral Kapiller Hemanjiyom Tanısı ve Tedavisi: Olgu Sunumu

Abstract

Herkeklere göre yaklaşık iki kat daha fazladır. Hemanjiyomlar, genellikle asemptomatiktir, müdahale gerektirmez; fakat bazı durumlarda lokalizasyonu ve boyutları nedeniyle tedavi gerekebilir. Erken teşhis ve tedavi, oluşabilecek komplikasyonları önlemede anahtar rol oynamaktadır.
48 yaşında kadın hasta ağız içinde ağrısız şişlik şikayeti ile kliniğimize başvurdu. Yapılan intraoral incelemede; sol mandibula posterior alveol kret üzerinde yüzeyden kabarık, kırmızı- pembe renkte ve 4 cm çapında ülsere lezyon tespit edildi. Yapılan biyopsi sonucunda hastaya ülsere kapiller hemanjiyom tanısı kondu. Lezyon elektrokoter cihazı ile lokal anestezi altında total olarak eksize edilip iyileşme sağlandı ve 6 aylık takip sürecinde herhangi bir nüks gözlenmedi. Hastaya düzenli takip muayeneleri önerildi.
Bu olgu sunumunda amaç, ağız içinde alveol kret üzerinde görülen kapiller hemanjiyomun tanısı, tedavisi ve klinik takibi ile ilgili bilgiler sunmaktır.

Keywords

Hemanjiyom, Biyopsi, Patoloji, Oral

Supporting Institution

YOK

Project Number

yok

Thanks

Çalışmada emeği olan herkese teşekkürlerimi sunarım

References

• 1. Mitra D, Dutta S, Paul J & Kumar N. (2016) Central capillary hemangioma of the maxilla: Case report and a review of the literature. The Saudi Journal for Dental Research, 7(1):64-68.
• 2. Chen WL, Zhang B, Li JS, Yang ZH, Wang YJ, Huang ZQ, et al. (2009) Liquid nitrogen cryotherapy of lip mucosa hemangiomas under inhalation general anesthesia with sevoflurane in early infancy. Ann Plast Surg, 62(2):154-157.
• 3. Haggstrom AN, Drolet BA, Baselga E, et al. (2006) Prospective study of infantile hemangiomas: clinical characteristics predicting complications and treatment. Pediatrics 118(3):882-887.
• 4. Singh P, Parihar AS, Siddique SN, & Khare P. (2016) Capillary hemangioma on the palate: a diagnostic conundrum. BMJ Case Reports, bcr2015210948.
• 5. Dilsiz A, Aydin T and Gursan N. (2009) Capillary hemangioma as a rare benign tumor of the oral cavity:a case report. Cases journal, 2(1):1-6.
• 6. Léauté-Labrèze C, Dumas de la Roque E, Hubiche T, Boralevi F, Thambo JB, Taïeb A. (2008) Propranolol for severe hemangiomas of infancy. N Engl J Med, 358(24):2649-2651.
• 7. Desai V, Narang P, Varma B, Maghu S. (2015) Unusual site of capillary hemangioma: Practitioner's dilemma, Chrısmed J Health and Res, 2(1):77-81.
• 8. Miyazaki H, Kato J, Watanabe H, Harada H, Kakizaki H, Tetsumura A, et al. (2009) Intralesional laser treatment of voluminous vascular lesions in the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107(2):164-172.
• 9. Vesnaver A, Dovsak D. (2006) Treatment of vascular lesions in the head and neck using Nd:YAG laser. J Cranio-Maxillofac Surgery, 34(1):17-24.
• 10. Bradley P. (1997). A review of the use of the neodymium YAG laser in oral and maxillofacial surgery. Br J Oral Maxillofac Surgery, 35(1):26-35.
• 11. Varol A, Gülses A, Köymen R, Ortakoğlu K, Aydıntuğ YS. (2009). Oral hemanjiyomların tanı ve tedavi yöntemleri: olgu sunumu ve literatür derlemesi. Turkiye Klin J Cardiovasc Sci, 21(2):260-266.
• 12. Chang Lei, Lv Dongze, Yu Zhang, Ma Gang, Ying Hanru, Qiu Yajing, Chen Hui, Lin Xiaoxi. (2018). Infantile Hemangioma: factors causing recurrence after propranolol treatment: Pediatric Research, 83:175-182.