DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20212496

Compound haemangioma of lower lip: an interesting and rare case report

Devika Chauhan, Subhransu Kumar Hota, Hardik Kabra, Ranjana Giri, Urmila Senapati, Harish Chandra Tudu

Abstract


Haemangiomas are common benign vascular tumours of infancy and childhood. Haemangiomas occur in 10-12% of children of 1 year of age and most of them are self-resolving within 9 years of age. Most common sites are head and neck (around 90%) and lip is one of the preferred sites. Sometimes persistence of haemangiomas may require surgical intervention. Capillary haemangiomas generally located superficially and cavernous haemangiomas located deep. Mixed capillary-cavernous haemangiomas or compound haemangiomas are one of the rarer types and location at lip rarest. Here we report a 14-years-old boy presented to paediatric surgery outdoor with swelling in lower lip for last 3 years. The excisional biopsy done with a clinical diagnosis of granuloma and sent for histopathological study. On microscopy of tissue sections given from lesion showed stratified squamous epithelium with sub epithelium revealing two distinct areas of capillary haemangioma component and cavernous haemangioma component within the lesion. So, final diagnosis of capillary-cavernous haemangioma (compound haemangioma) was made without any granuloma or malignant component. Patient followed up for six months and he was completely asymptomatic without any residual disease and recurrence.


Keywords


Cavernous, Capillary, Lip, Child

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References


Jeddy N, Duraiyan JP, Palanivelu S, Ramamoorthy A. A giant compound hemangioma of lower lip. J Oral Maxillofac Pathol. 2012;16(3):438-40.

George A, Mani V, Noufal A. Update on the classification of hemangioma. J Oral Maxillofac Pathol. 2014;18(1):117-20.

Sepulveda A, Buchanan EP. Vascular tumors. Semin Plast Surg. 2014;28(2):49-57.

Dilsiz A, Aydin T, Gursan N. Capillary hemangioma as a rare benign tumor of the oral cavity: a case report. Cases J. 2009;2:8622.

Clymer MA, Fortune DS, Reinisch L, Toriumi DM, Werkhaven JA, Ries WR. Interstitial Nd:YAG photocoagulation for vascular malformations and hemangiomas in childhood. Arch Otolaryngol Head Neck Surg. 1998;124(4):431-6.

Lyssy LA, Puckett Y. Oral Hemangiomas. Starpearls; 2021.

Chaithra K, Nilofer H. Haemangioma on Tongue: A Case Report. JOJ Case Study. 2018;8(2):555733.

Tessieras J, Chenaye J, Senechaud C, Banz Y. Intranodal capillary-cavernous hemangioma: Report of a very rare case. SAGE Open Med Case Rep. 2019;7:6710.

Patel SB, Desai A, Desai S, Vyas RR, Soni HC. Case Report:Vascular lesions of face. Ind J Radiol Imag. 2003;13(3):257-60.

Wassef M, Blei F, Adams D, Alomari A, Baselga E, Berenstein A, et al. Vascular Anomalies Classification: Recommendations From the International Society for the Study of Vascular Anomalies. Pediatrics. 2015;136(1):203-14.

Kollipara R, Dinneen L, Rentas KE, Saettele MR, Patel SA, Rivard DC, et al. Current classification and terminology of pediatric vascular anomalies. AJR Am J Roentgenol. 2013;201(5):1124-35.