Mixed Hemangioma of the Gingiva: A Case Report

Ahmed Chkoura, Wafae El wady, Bouchra Taleb


Hemangioma is the most common benign oral soft tissue tumor in children. In adults, the occurrence of hemangioma with its primary location on gingival tissues is very rare. Two main forms of hemangiomas are recognized: capillary and cavernous. Surgical treatment of this lesion may produce a severe bleeding, for this reason; it may be managed by specialized practitioner. This article reports a case of hemangioma localized in the mandibular gingiva in a 19-year-old man, the adopted treatment was excision of the tumor with a narrow margin of normal mucosa. The histopathological examination shows that it consisted of a mixed capillary-cavernous hemangioma. The pathogenesis, differential diagnosis and the treatment of hemangioma of the oral cavity are discussed. According to our research, this is the first described mixed capillary-cavernous gingival hemangioma in the literature. 


Capillary Hemangioma; Cavernous Hemangioma; Tumor, Gingiva; Oral Cavity; Mandible

Full Text:



Enzinger FM, Weiss SW. Soft tissue tumors. 3rd Edition. St Louis: Mosby; 1995:581-586.

Silverman RA: Hemangiomas and vascular malformations. Pediatr Clin North Am 1991, 38:811-834.

Shafer WG, Hine MK, Levy BM. A Textbook of Oral Patholgy. Philadelphia: W.B. Saunders Company, 4th ed, 1983; 154-157.

Chau MNY, Cheung LK, Chau KK. Oral pathologic conditions in children. In: Wei SHY Ed.. Pediatric Dentistry: Total Patient Care. Philadelphia: Lea & Febiger, 1988; 313-330.

Burket LW .Burket’s oral medicine. PMPH; 11 edition, 2008; 145.

Maaita JK. Oral tumors in children: a review. J Clin Pediatr Dent 2000; 24: 133-135.

Sato M, Tanaka N, Sato T, et al. Oral and maxillofacial tumours in children: a review. Br J Oral Maxillofac Surg 1997; 35: 92-95.

Tanaka N, Murata A, Yamaguchi A, et al. Clinical features and management of oral and maxillofacial tumors in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88: 11-15.

Chen YK, Lin LM, Huang HC, et al. A retrospective study of oral and maxillofacial biopsy lesions in a pediatric population from southern Taiwan. Pediatr Dent 1998; 20: 404-410.

Das S, Das AK. A review of pediatric oral biopsies from a surgical pathology service in a dental school. Pediatr Dent 1993; 15: 208- 211.

Skinner RL, Davenport WD, Weir JC, et al. A survey of biopsied lesions in pediatric dental patients. Pediatr Dent 1986; 8: 163-167

Wang YL, Chang HH, Chang JY, Huang GF, Guo MK. Retrospective survey of biopsied oral lesions in pediatric patients. J Formos Med Assoc. 2009 Nov;108(11):862-71.

Cho SY, Tang MC. Haemangioma on the Dental Alveolar Ridge Report of a Case. Hong Kong Dent J 2004; 1: 37-39.

Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology. 2nd Edition. Philadelphia: WB Saunders; 2002:447-449.

Carranza FA. Glickman’s Clinical Periodontology. 1st Edition. Philadelphia: WB Saunders Co; 1990:335-351.

Marx RE, Stern D. Oral and maxillofacial pathology: a rationale for diagnosis and treatment, 1st ed., Illinois: Quintessence Publishing; 2003: 442.

Barak S, Katz J, Kaplan I. The CO2 laser in surgery of vascular tumors of the oral cavity in children. J Dent Child 1991; 58: 293-296.

Chin DC. Treatment of maxillary hemangioma with sclerosing agent. Oral Surg Oral Med Oral Pathol 1983; 55: 247-249.

Greene LA, Freedman PD, Friedman JM, et al. Capillary hemangioma of the maxilla. A report of two cases in which angiography and embolization were used. Oral Surg Oral Med Oral Pathol 1990; 70: 268-273.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

Indexed In Ebscohost Index Copernicus UlrichsWebOpenJGateGoogle Scholar DOAJ Gale Cengage Learning Research Gate
System Developed By Stanford University Arizona State University Simon Fraser University Canadian Centre For Studies In Publishing University of British Columbia - Faculty of Education
W3C XHTML v1.0 Verified W3C verified Valid CSS v2.1 PHP5 Enabled Made On Mac Apache Enabled MySQL Powered
Published by Celesta Software Pvt Ltd