J Oral Med Oral Surg
Volume 28, Number 1, 2022
|Number of page(s)
|17 December 2021
Images For Diagnosis
Intra oral verrucous hemangioma − a fierce entity
Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Department of Oral Medicine and Radiology, Mangalore, India
* Correspondence: email@example.com
Accepted: 12 October 2021
A 9-year-old girl reported with the complaint of discomfort in her upper jaw for the past 6 months. She also gave history of occasional sense of bleeding inside her mouth. On intra oral examination, multiple purplish red papules with warty surface were seen extending from the mid posterior hard and soft palate region involving the left side. The lesions appeared coalesced in the mid soft palate region and was compressible to some extent (Fig. 1) . The discomfort experienced by the patient was due to the verrucous growth and bleeding may be due to trauma to the lesion from food. The differential diagnoses that were considered include intra-oral Verrucous hemangioma, lymphangioma circumscriptum and verrucous epidermal nevus. Incisional biopsy was performed under local anesthesia and it was confirmed histopathologically (Fig. 2) as Verrucous Hemangioma. These are benign lesions that has to considered in the diagnosis of vascular lesions with a verrucous appearance.
Clinical image of the palate showing multiple purplish red papules.
Histopathological section demonstrating hyperkeratosis (denoted with white arrowheads), epithelial hyperplasia (denoted with black arrows), papillomatosis with numerous blood filled vascular proliferations within the connective stroma (denoted with white arrows).
The authors declare that they have no conflicts of interest in relation to this article.
The authors declare that informed consent has been obtained.
The authors declare that Ethical approval not required.
This research did not receive any specific funding.
© The authors, 2021
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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