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Hemangioma
Hemangioma
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Hemangioma

  1. 1. CPC Clinical Case Study II Majd Hasanin
  2. 2. Chief Complaint Patient came for routine check up. Upon examination a painless red lesion was discovered on the tongue.
  3. 3. History • Medical History: – Not Significant. • Dental History: – Multiple restored teeth.
  4. 4. Clinical Examination • Extra-oral Examination revealed: – Lymph nodes and extra-oral structures all appears to be within the normal limit. – No pain, no tenderness present.
  5. 5. Clinical Examination • Intra-oral Examination, revealed: – A reddish-blue macule at the surface of the tongue. – Painless, even upon palpation.
  6. 6. Intra-oral Photograph Reddish-blue Macule.
  7. 7. Differential Diagnosis • Mucocele. • Ranula. • Superficial Cyst. • Hemangioma.
  8. 8. Histopathology
  9. 9. Definitive Diagnosis Congenital Cavernous Hemangioma.
  10. 10. Treatment • Sclerosing Technique (sodium tetradecyle sulfate). • Cryosurgery.
  11. 11. Hemangioma
  12. 12. Introduction • A hemangioma is an abnormal buildup of blood vessels in the skin or internal organs. • It may be congenital or traumatic in origin. • It is called vascular nevus • composed of seemingly disorganized vessels that are filled with blood and is connected to the main vein
  13. 13. Types • Central – In bone • Capillary – Intercommunication capillary vessels • Strawberry angioma • Port wine stain • Salmon’s notch • Cavernous – Dilated blood containing spaces lined by endothelium • Arterial
  14. 14. Introduction, cont. • Etiology: Congenital. • Incidence: About 30% of hemangiomas are present at birth. The rest appear in the first several months of life • Gender: female to male ratio is 2:1 • Age: 1st and 3rd decades. • Site: most common site are the lips, tongue, buccal mucosa and palate
  15. 15. Clinical Features • Appear as a flat or raised lesion of the mucosa • Deep red or blue reddish in color and seldom is well circumscribed • May vary in size and may become larger on physical activities • Some lesions are pedunculated and globular and some are broad based and flat or slightly raised
  16. 16. Clinical Features • Compressibility test, continue pressure will push blood out of the lesion. • If associated with tongue it may cause loss of mobility.
  17. 17. Hemangioma
  18. 18. Complications • Bleeding (especially if the hemangioma is injured). • Problems with breathing and eating. • Psychological problems, from skin appearance. • Secondary infections and sores. • Visible changes in the skin. • Vision problems.
  19. 19. Management • Usually regress by itself during adolescent period. • Laser surgery, cryosurgery by dry ice. • Sclerosing technique. • Injection of boiling water or hypertonic saline. • Radiation therapy. • Corticosteroids.
  20. 20. Thank You all for your kind attention
  21. 21. References: • Habif TP. Vascular tumors and malformations. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 23. • Textbook of oral medicine, AnilGovindrao Ghom For: White and Pharoah

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