Abstract
Central hemangioma (CH) of the jaws is a rare benign vascular neoplasm of variable radiographic appearance. A 32-year-old man was referred for evaluation of an ulcerated mass on the anterior mandible causing facial asymmetry for the last 6 months. The patient reported progressive growth and bleeding episodes. Intraoral examination revealed an erythematous and necrotic swelling in the lower anterior gingiva. Computerized tomography revealed a well-defined multilocular hypodense lesion involving the mandibular symphysis, containing hyperdense foci, with expansion and destruction of the buccal cortical bone, and teeth displacement and mobility. High blood content was detected during aspiration and surgical enucleation was performed after tumor embolization. Microscopically, large arterial blood vessels of variable sizes were observed, some of them containing intravascular concentric calcifications, confirming the diagnosis of CH. During a follow-up period of 6 months, the patient had no recurrence. CH of the jaws may show an aggressive clinical appearance, mimicking malignancy.
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