Journal of Clinical and Diagnostic Pathology

Journal of Clinical and Diagnostic Pathology

Current Issue Volume No: 2 Issue No: 1

Case-report Article Open Access
  • Available online freely Peer Reviewed
  • Hemangioma Of The Buccal Mucosa Of The Cheek Presenting As A Dermoid Cyst: A Case Report

    1 Private Practice in Oral, Maxillofacial and Reconstructive Surgery. Aiea, Hawaii 96701. *Professor of Surgery. Department of Periodontology and Oral Implantology. Kornberg School of Dentistry. Temple University, Philadelphia, PA 19140, USA. 

    Abstract

    This case report presents a 73-year old Asian female with a presumed dermoid cyst in the buccal mucosa of the left cheek that was visible and embarrassing to her. Histopathology revealed the mass to be consistent with a cavernous hemangioma. Hemangiomas are benign vascular tumors of mesenchymal origin. It is usually present at birth but can develop later in life. It commonly occurs in the head and neck region, but rarely in the oral cavity.

    Author Contributions
    Received Apr 03, 2023     Accepted May 02, 2023     Published May 15, 2023

    Copyright© 2023 Y. S. Lee DMD MD PHD MPH MSEd Cameron.
    License
    Creative Commons License   This work is licensed under a Creative Commons Attribution 4.0 International License. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    Competing interests

    The authors have declared that no competing interests exist.

    Funding Interests:

    Citation:

    Y. S. Lee DMD MD PHD MPH MSEd Cameron (2023) Hemangioma Of The Buccal Mucosa Of The Cheek Presenting As A Dermoid Cyst: A Case Report Journal of Clinical and Diagnostic Pathology. - 2(1):1-5
    DOI 10.14302/issn.2689-5773.jcdp-23-4551

    Introduction

    Introduction

    Hemangiomas are a group of benign mesenchymal vascular tumors characterized by a proliferation of blood vessels histologically.1Based on histologic examination, hemangiomas are classified as either capillary or cavernous benign vascular tumors. Hemangiomas are commonly observed soft tissue tumors in the head and neck region.2, 3In the oral cavity, hemangiomas are rarely observed. Clinically, hemangiomas may appear as a painless submucosal papule or nodule single or lobulated mass that is bluish-purple in color.4We report a case of a 73-year old Asian female who presented with a submucosal mass in the left buccal mucosa of the left cheek that clinically appeared to be a dermoid cyst. However, during surgery to excise the lesion the dome-shaped mass observed was a dark purple vascular tumor. Histopathologic examination confirmed the lesion as a cavernous hemangioma.

    Discussion

    Discussion

    In the oral cavity, cavernous hemangiomas are rare painless dark purple-blue colored soft tissue masses that will blanch with digital pressure. Hemangiomas can occur on the gingiva, soft and hard palate of the maxilla, lips, buccal mucosa, salivary glands, and jaw bones.45They can appear as a smooth single or multiple lobulated compressible mass of variable size.167However, hemangiomas can mimic other tumor or cystic lesions as in this case report. In our patient, the surface mucosa was of normal color without the dark purple-blue color that is characteristic of hemangiomas. Histopathology reveals well developed capillary sinuses lined by endothelial cells separated by a connective tissue stroma. The dilated sinuses are often filled with erythrocytes.48

    Management of hemangiomas are not always indicated. When treatment is initiated, age of the patient, size and extent of the lesion must be considered.4Treatment options include surgical excision, intralesional injection of sclerosing agents, laser surgery, cryosurgery, and interferon treatment.9101112

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