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Oral hemangioma - Oral Mucosal Lesion
Oral hemangioma - Oral Mucosal Lesion
Contributors: Carl Allen DDS, MSD, Sook-Bin Woo MS, DMD, MMSc
Synopsis
True oral hemangioma is a developmental vascular malformation of capillaries. They tend to affect infants and young children with a slight female predilection. The lesions are not painful but will bleed if traumatized. They are usually present, but subtle, at birth, grow rapidly within the first few years of life, and then involute. The more common vascular malformations in the oral cavity, loosely called hemangiomas, are proliferations of capillaries or venules that do not involute but persist and grow very slowly over years. They tend to occur on the tongue, buccal mucosa, and labial mucosa. The intrabony lesions are best classified as "vascular malformations."
Codes
ICD10CM:
D10.30 – Benign neoplasm of unspecified part of mouth
SNOMEDCT:
403963001 – Hemangioma of oral cavity
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Differential Diagnosis & Pitfalls
Lobular capillary hemangioma (pyogenic granuloma) is a reactive proliferation of blood vessels that occurs in adults and during pregnancy. It is usually present on the gingiva, buccal mucosa, or labial mucosa.
Peripheral giant cell granuloma
Kaposi sarcoma may present as a purplish-blue nodule with a tendency to bleed. It is seen in the oral cavity, primarily in those with AIDS .
Oral varices
Some abscesses may appear purplish-red, but these are always associated with an infectious process, odontogenic or otherwise.
Leukemic infiltration
Large varices may appear similar but generally occur in older individuals and are common on the lip.
Sturge-Weber syndrome is a vascular malformation involving the soft tissues of the face and oral mucosa that follows the distribution of the trigeminal nerve. If the ophthalmic division is affected, there is usually concomitant meningeal involvement. Oral lesions are diffuse, purple plaques, and the overlying skin has a port-wine stain.
Granulomatosis with polyangiitis
Squamous cell carcinoma
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Last Updated:10/30/2017
Patient Information for
Oral hemangioma -
Oral Mucosal Lesion
Contributors: Medical staff writer
Overview
A hemangioma is an area of soft tissue that appears purple or dark red due to small blood vessels or capillaries that are malformed. Oral hemangiomas can appear on the lips, tongue, and mucous membrane of the mouth. They are usually painless, but they can bleed when bumped or irritated. They may cause swelling if they develop in the jawbone.
Who’s At Risk
Oral hemangiomas are common in infants and children, but they can occur in adults as well. They may grow rapidly in infants, and are harmless (benign) and painless, unless irritated. Adults may develop oral hemangiomas over a period of years.
Signs & Symptoms
Oral hemangiomas look like red, blue, or purple patches on the skin or other soft tissue, particularly in the mouth or on the tongue or lips. They are painless, but they can bleed if irritated or traumatized.
Self-Care Guidelines
Avoid poking or injuring the oral hemangioma, as it may bleed. Most oral hemangiomas will resolve on their own, without treatment.
When to Seek Medical Care
If your child has an oral hemangioma that interferes with talking or eating, see your pediatrician.
Treatments
Oral hemangiomas do not need treatment, unless bleeding has become a problem. Hemangiomas that interfere with breathing, swallowing, eating, etc. may require removal. Hemangiomas can also be removed for cosmetic reasons. Many hemangiomas will go away on their own.
Oral hemangioma - Oral Mucosal Lesion
Confluent violaceous nodules on the buccal mucosa.
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David Adelson MD
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