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    International Journal of Innovative Science and Research Technology
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    A benign growth of blood vessels called a hemangioma appears in both childhood and maturity

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    Lobular Capillary Hemangioma an Extremely Rare Entity in the Retromolar Region Case Report

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    A benign growth of blood vessels called a hemangioma appears in both childhood and maturity

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    17 views5 pages

    Lobular Capillary Hemangioma An Extremely Rare Entity in The Retromolar Region Case Report

    Uploaded by

    International Journal of Innovative Science and Research Technology
    A benign growth of blood vessels called a hemangioma appears in both childhood and maturity

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology

    ISSN No:-2456-2165

    Lobular Capillary Hemangioma: An Extremely Rare


    Entity in the Retromolar Region: Case Report
    Dr. Jambukeshwar Kumar B., Dr. Shreya H.R., Dr. Srikar M.V., Dr. Vidya K.C., Dr. Akshay Thilak

    Abstract:- A benign growth of blood vessels called a the patient was under local anesthetic (1:80,000). Complete
    hemangioma appears in both childhood and maturity. hemostasis was attained and bleeding was completely
    Early infancy fast endothelial cell growth, followed by stopped by applying pressure with a gauze. Instructions and
    involution throughout time, identify them as postoperative care were provided. For a standard
    malignancies. Hemangiomas can be classified as either histological study, the removed tissue was sent in a formalin
    capillary or cavernous. The capillary shape appears as a bottle (FIGURE 2 AND FIGURE 3). After a week, the
    flat region made up of lots of tiny capillaries. Large patient was brought back in, and the biopsy site healing
    dilated sinuses filled with blood make up a cavernous went smoothly and satisfactorily.(FIGURE 5B)
    hemangioma, which presents as an elevated lesion of Additionally, the patient received recommendations for
    vascular plexuses with a deep red color. They primarily surgically extracting 48 and 18 teeth.
    affect white people more than people of color, are three
    times more common in women than men, affect the II. HISTOPATHOLOGICAL REPORT:
    mandible more than the maxilla in a 2:1 ratio, and only
    five percent of intramuscular hemangiomas include the revealed discontinuous stratified squamous para-keratinized
    masseter muscle. This case of a patient with a lobular epithelium of variable thickness overlying a vascular, fibro
    capillary hemangioma is being described to highlight the cellular stroma associated with proteolytic changes, pseudo -
    condition's uncommon occurrence and effective therapy. dysplasia and epithelial proliferation. underlying connective
    tissue shows lobules of budding capillaries separated by
    setae, with focal collections of plasma cells along with
    I. INTRODUCTION
    Russel bodies. Telangiectatic and congested capillaries are
    Patient MANJULA A. S., a 26-year-old woman with a appreciated throughout the connective tissue (feeder vessel)
    growth in the right lower back tooth region for 15 days, – final diagnosis of LOBULAR CAPILLARY
    came to our department of oral and maxillofacial surgery at HEMANGIOMA. (FIGURES 6)
    the Coorg Institute of Dental Sciences in Virajpet with this
    complaint. The growth, which progressively grew in size, III. DISCUSSION
    was first observed 15 days ago. Additionally, the patient had Hemangiomas, which can be categorized as capillary
    a history of bleeding and chewing problems. Patient lacked or cavernous, are benign vascular tumors that are rather
    any pertinent medical background. On intraoral frequent. Although capillary hemangiomas are a common
    examination, a retromolar of tooth number 48 facing the soft tissue tumor of the head and neck, they are very
    lingual side displayed a 1.5x1.5 cm single, pedunculated, uncommon in the oral cavity. A rapid growth phase is
    reddish pink swelling with smooth surface and impingement followed by a slow involution in capillary hemangiomas,
    of opposing 3rd molar tooth. The lesion's surface seems which are made up of numerous tiny capillaries lined with
    ulcerated and white. (FIGURE 5A) endothelial cells and sustained in the connective tissue
    All the inspectory results were verified upon palpation. stroma. The common soft tissue tumor of the oral cavity is
    The lesion was firm in consistency, quickly bleeds when called pyogenic granuloma. The doctor typically faces
    prodded, and was painful. On the digital pressure, clinical confusion and difficulty in diagnosing these two
    compressibility and refilling of the lesion were visible. lesions. Hemangiomas are benign tumors that are more
    Because the patient had a history of chewing betelnuts, pan common in children (7%) than adults1. Capillary
    quid, and slaked lime 2-3 times per day during the previous hemangiomas are exceedingly uncommon intraorally,
    six months, the patient had poor oral hygiene and stains. The occurring in 0.5%–1.0% of all other lesions with a female
    radiograph (OPG) showed that there were 48 impacted and preference (ratio of 3:1). Nayouki Matsumoto et al.
    18 buccal eruptions (FIGURE 4). A preliminary diagnosis of examined 31 capillary hemangioma patients and discovered
    pyogenic granuloma was made based on the clinical that the majority of lesions were identified in the buccal
    presentation of the lesion. Capillary hemangioma, peripheral mucosa (45.2%), tongue (35.5%), lip (9.7%%), gingiva
    giant cell granuloma, and peripheral ossifying fibroma were (6.5%), and palate (3.2 percent).2
    among the differential diagnoses. A biopsy was planned for Hemangiomas of the oral soft tissues can range in size
    the same as an additional procedure. Oral prophylaxis and from a few millimeters to several centimeters and present as
    patient education about maintaining good oral hygiene and painless, soft, smooth or lobulated, sessile or pedunculated
    quitting the habit were performed after the patient provided lesions or growths. These lesions typically grow slowly and
    informed consent. The results of the preoperative blood tests have a deep red or blue red tint when they first appear.
    were all within normal limits. After a week, the patient was These lesions frequently include adjacent teeth and the
    treated under aseptic conditions, and the growth and interdental papilla. They are typically painless3.
    surrounding tissue were excised using electrocautery while Hemangiomas of the oral mucosa are managed differently

    IJISRT22JUL492 www.ijisrt.com 1115


    Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    depending on the patient's age, the size of the lesion, the surgical excision. Hemangiomas often bleed profusely
    region of involvement, and the clinical characteristics of the during surgical excision, however in this case, there was
    hemangioma. Surgery to remove the lesion, either with or little to no bleeding, suggesting that the hemangioma may
    without ligating the vessels and embolization, is the most not be actively proliferating. The treatment had a positive
    popular form of treatment for hemangiomas. Other effect on the patient5.
    therapeutic approaches, including as steroid therapy,
    electrosurgery, laser surgery, cryosurgery, and the use of IV. CONCLUSION
    sclerosing agents, have recently also been developed.
    Surgery should be performed carefully, keeping in mind the To understand the clinical behavior and potential
    potential for intraoperative and postoperative bleeding4. dentoalveolar consequences of the capillary hemangioma,
    early diagnosis and biopsy are required. Capillary
    The lesion in this instance was less symptomatic and hemangioma is significant due to its associated vascular
    unpleasant. To rule out malignant conditions and check for characteristics and consequences, despite the fact that it is a
    the presence of any other foreign bodies that needed to be benign tumor of the oral cavity. Additionally, as the tissues
    removed in addition to the lesion, radiographs were may bleed heavily both before and after surgery, surgical
    indicated. The therapeutic method in this instance was care of hemangiomas should be done with prudence6.

    FIGURE – 1A LEFT PROFLE FIGURE – 1B FRONTAL PROFILE FIGURE 1C – RIGHT PROFILE

    Fig. 1 - EXTRA ORAL PICTURES

    Fig. 2: EXCISIONED GROWTH MEASURING – 1.2*1*0.9 CM

    IJISRT22JUL492 www.ijisrt.com 1116


    Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165

    Fig. 3: SPECIMEN IN FORMALIN BOTTLE

    Fig. 4: ORTHOPANTANOGRAM

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    Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    FIGURE 5A - PREOPERATIVELY

    FIGURE 5B - POSTOPERATIVELY

    Fig. 5: INTRA ORAL PICTURES

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    Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    FIGURE 6A FIGURE 6 B

    Fig. 6: HISTOPATHLOGICAL PICTURES

    REFRENCES

    [1.] Dilsiz A, Aydin T, Gursan N. Capillary hemangioma


    as a rare benign tumor of the oral cavity: a case report.
    Cases journal. 2009 Dec;2(1):1-6.
    [2.] Kumari VR, Vallabhan CG, Geetha S, Nair MS, Jacob
    TV. Atypical presentation of capillary hemangioma in
    oral cavity-A case report. Journal of Clinical and
    Diagnostic Research: JCDR. 2015 Oct;9(10):ZD26.
    [3.] Mills SE, Cooper PH, Fechner RE. Lobular capillary
    hemangioma: the underlying lesion of pyogenic
    granuloma. A study of 73 cases from the oral and nasal
    mucous membranes. The American journal of surgical
    pathology. 1980 Oct 1;4(5):470-9.
    [4.] Lyssy LA, Puckett Y. Oral Hemangiomas. [Updated
    2022 May 6]. In: StatPearls [Internet]. Treasure Island
    (FL): StatPearls Publishing; 2022 Jan-. Available from:
    https://www.ncbi.nlm.nih.gov/books/NBK560768/
    [5.] Rachappa MM, Triveni MN. Capillary hemangioma or
    pyogenic granuloma: A diagnostic dilemma.
    Contemporary clinical dentistry. 2010 Apr;1(2):119.
    [6.] Açikgözsurname A, Sakallioglu U, Özdamar S, Uysal
    A. Rare benign tumours of oral cavity–capillary
    haemangioma of palatal mucosa: a case report.
    International Journal of Paediatric Dentistry. 2000
    Jun;10(2):161-5.

    IJISRT22JUL492 www.ijisrt.com 1119

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