ORAL INTRAMUSCULAR HEMANGIOMA

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 130; no. 3; p. e170
• Main Authors: OLIVEIRA, LINDINALVA CAVALCANTI DE, FIGUEIRA, LUIZA, CUNHA, KARIN, SILVA, ARLEY, MILAGRES, ADRIANNA, ROZZA, RAFAELA, CASTEX, DANIELLE
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-09-2020
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.286

Intramuscular hemangioma is a rare form of vascular lesion that represents less than 1% of all types of hemangiomas. Our objective is to report a case of intramuscular hemangioma on the left side of the lower lip mucosa extending to buccal mucosa in a 65-year-old female patient. A painless sessile nodule with soft consistency and smooth surface measuring approximately 2.5 × 1.0 cm was noted, and the clinical hypothesis was pleomorphic adenoma or a lipoma. Before an incisional biopsy, a fine needle aspiration was performed, presenting aspects of a soft tissue lesion. After biopsy, the diagnosis of hemangioma was established. Intralesional sclerotherapy with ethanolamine oleate diluted 1:1 in anesthetic solution was initiated, and a total remission was observed after 6 applications. After 1.5 years, the lesion recurred, and an excisional biopsy was performed. The histopathologic analysis established the diagnosis of intramuscular hemangioma. No recurrence was seen after 11 months of follow-up.