ABSTRACT

Hemangiomas are among the most common head and neck neoplasms encountered in the pediatric age group. They are less common in the adult group. Although they are common in the head and neck region, hemangioma of oral cavity is rare. In this study, we present a lingual hemangioma together with literature data of the clinical findings and possible complications. A 63-year-old female patient was admitted to our clinic with a lingual mass. The patient underwent excisional biopsy under local anesthesia. There was no complication at postoperative follow-up. Histopathological study revealed a capillary cavernous hemangioma. Lingual hemangiomas may pose distressing problems to the patients, producing cosmetic deformity, recurrent hemorrhage and functional problems in speech, deglutition, and mastication. Several pharmacological and surgical treatment options have been identified for the treatment of hemangiomas. Differential diagnosis can include squamous cell carcinoma, Kaposi sarcoma, benign lesion like bacillary angiomatosis, epulis, telangiectasia, and pyogenic granuloma. As a result, we recommend a preoperative preparation according to the type of hemangiomas and en bloc surgical excision. Later on, accompanied by an experienced oral pathologist, the differential diagnosis and follow-up for the recurrence is very important