Treatment of oral hemangioma with sclerotherapy: case report

Salomão Israel Monteiro Lourenço Queiroz,Valéria Damasceno Silvestre,Gleysson Matias De Assis,Adriano Rocha Germano,José Sandro Pereira Da Silva

doi:10.1590/jvb.2014.035

Salomão Israel Monteiro Lourenço Queiroz, Valéria Damasceno Silvestre + Show 3 more

Open Access

https://doi.org/10.1590/jvb.2014.035

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Abstract

Hemangiomas are benign neoplasms that are common in the head and neck, but relatively rare in the oral cavity. They can cause esthetic and functional impairment, depending on location. The most common site is the upper lip, but they can occur in other areas, such as the tongue, buccal mucosa and palate. Treatment is primarily dependent on correct diagnosis of the lesion and on its anatomic location. The purpose of this article is to provide a description of a case of a hemangioma on the upper lip, treated by therapeutic sclerosis with monoethanolamine oleate (Ethamolin®), covering clinical characteristics and methods for diagnosing these lesions. Precise diagnosis and appropriate therapeutic management resulted in satisfactory esthetic and functional results, with total regression of the lesion and no signs of relapse at 1-year follow-up.

Highlights

In 1982, Mulliken and Glowacki[1] proposed a classification system for vascular lesions based on the cellular method, dividing these lesions into two types
A hemangioma is a common and benign neoplasm of the head and neck that relatively rarely lasts beyond 9 years of age
The objective of this article is to describe a case of a female patient with a hemangioma of the upper lip that was treated with therapeutic sclerosis, covering clinical characteristics and diagnostic methods

Summary

Introduction

In 1982, Mulliken and Glowacki[1] proposed a classification system for vascular lesions based on the cellular method, dividing these lesions into two types. The first type exhibits endothelial proliferation (hemangioma), with rapid growth, followed by gradual involution, meaning that 90% of cases resolve themselves before 9 years of age, and 5 to 10% occur in children up to 1 year old.[2] The second type does not exhibit proliferation of the endothelium (vascular malformation), is present at birth and remains throughout life, affecting around 0.3 to 1% of newborn infants.[2]. A hemangioma is a common and benign neoplasm of the head and neck that relatively rarely lasts beyond 9 years of age. In the oral and perioral region it can cause esthetic and functional impairment, depending on location.[2,3] The most common site is the lips,[4] but other areas, such as the tongue, buccal mucosa and palate have been described.[3,5,6] Peak incidence is described soon after birth or in early infancy; but some cases have onset in adulthood.[2,3,6,7]

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