CAPILLARY HAEMANGIOMA
PATIENT DEMOGRAPHIC DATA
NAME : Mrs.KAMALAM
AGE : 45
SEX : FEMALE
Op No : 1512230152
DATE : 15.12.23
ADDRESS : MAMANDUR
CHIEF COMPLAINT:
Patient complaints of swelling in anterior two third of doral
surface of tongue for past two weeks
HISTORY OF PRESENTING ILLNESS:
Patient was apparently normal before two weeks later she
accidentally bite her tongue then she develop a well defined swelling
which was gradual in onset slowly increasing in size to attain current
PAST MEDICAL HISTORY :
No history of diabetes mellitus,hyper tension asthma,
allergy, wheezing, bleeding disorder, recent hospitalisation,
tuberculosis, epilepsy.
PAST DENTAL HISTORY:
Patient underwent uneventful extraction before 10 years
PERSONAL HISTORY:
Patient brushes twice daily with toothbrush and
toothpaste.
No history of betel nut chewing.
FAMILY HISTORY:
No relevant family history
PHYSICAL EXAMINATION
GENERAL EXAMINATION:
Patient is conscious ,cooperative , well built ,well nourished, well
oriented with time place ,persons .no signs of pallor ,icterus ,clubbing,
cyanosis , lymphadenopathy , pedal oedema.
GENERAL ASSESSMENT:
HEIGHT : 164 CMS WEIGHT : 70 kgs
VITAL SIGNS:
BODY TEMPERATURE: 36 C
PULSE: 71beats/minute
RESPIRATORY RATE :16 beats/minute
BLOOD PRESSURE :130/80mmhg
SYSTEMIC EXAMINTION
• CNS: no abnormality detected
• CVS: no abnormality detected
• RS: no abnormality detected
• GI: no abnormality detected
• UG: no abnormality detected
• GENERAL LYMPHATIC SYSTEM: no abnormality detected
LOCAL EXAMINATION
EXTRA ORAL EXAMINATION
INSPECTION:
Facial symmetry: apparently symmetrical
Lip : competent
Profile : straight
PALPATION:No abnormality detected
PERCUSSION ,AUSCULTATION,TRANSILLUMINATION: No
abnormality detected
LYMPHNODE EXAMINATION: No abnormality detected
TMJ : TMJ movements within physiological limits and No clicking
sounds are heard and no tenderness on palpation.
EXTRA ORAL IMAGES
INTRAORAL EXAMINATION
HARD TISSUE EXAMINATION
• TYPE OF DENTITION: permanent
• NUMBER OF TEETH PRESENT: 28
• COLOUR OF THE TEETH : yellowish white
• SIZE AND SHAPE OF TEETH: normal
• DENTAL CARIES: 17,16,36,37
• MISSING :NIL
• FILLING :Nil
• OTHER FINDING: Ca- ++ ST-++
SOFT TISSUE EXAMINATION:
BUCCAL MUCOSA: NO ABNORMALITY DETECTED
ALVEOLAR MUCOSA: NO ABNORMALITY DETECTED
LABIAL MUCOSA: NO ABNORMALITY DETECTED
GINGIVA: NO ABNORMALITY DETECTED
FLOOR OF THE MOUTH: NO ABNORMALITY DETECTED
LIP: NO ABNORMALITY DETECTED
PALATE: NO ABNORMALITY DETECTED
TONGUE: PRESENCE OF WELL DEFINED ERYTHEMATOUS SWELING ON
ANTERIOR TWO THIRD OF DORSAL SURFACE OF TONGUE
EXAMINATION OF LESION
• INSPECTION:
• Presence of well defined erythematous swelling of size
approximately 2x1 cm near anterior two third of the dorsal
surface of the tongue roughly oval in shape extending anteriorly
from the tip of the tongue, posteriorly 3cm from the circumvalate
papilla, medially 2cm from midline of tongue, posteriorly 1cm
from lateral border of tongue
• PALPATION:
• All the inspectory findings are confirmed by palpation.
• Tenderness :Nil.
• Firm in consistency with pedunculated base with no evidence
of bleeding or pus discharge
INTRA ORAL EXAMINATION:
SUMMARY:
• Patient complaints of swelling in anterior two third of doral surface
of tongue for past two weeks . Patient was apparently normal before
two weeks later she accidentally bite her tongue then she develop a
well defined swelling which was gradual in onset slowly increasing in
size to attain current size with no associated syptoms. On inspection
Presence of well defined erythematous swelling of size approximately
2x1 cm near anterior two third of the dorsal surface of the tongue
roughly oval in shape extending anteriorly from the tip of the tongue,
posteriorly 3cm from the circumvalate papilla, medially 2cm from
midline of tongue, posteriorly 1cm from lateral border of tongue.
• All the inspectory findings are confirmed by palpation.
• Tenderness :Nil.
• Firm in consistency with pedunculated base with no evidence of bleeding or
pus discharge
•
PROVISIONAL DIAGNOSIS:
Dental caries in 17,16,36,37
Chronic generalized gingivitis
Capillary haemangioma
DIFFERENTIAL DIAGNOSIS:
•Squamous cell carcinoma
•Kaposis sarcoma
•Pyogenic granuloma
INVESTIGATIONS
RADIOLOGY:
HEMATOLOGY: Routine blood examination -TC,DC,ESR,HB,BT,CT are
within normal limits.
BIO CHEMISTRY :Nil
MICROBIOLOGY: Nil
HISTOPATHOLOGY: EXCISIONAL BIOPSY
FINAL DIAGNOSIS
Chronic generalized gingivitis
Capillary haemangioma
OTHER FINDINGS
• Dental caries in 17,16,36,37
• Chronic generalized gingivitis
TREATMENT PLAN
• Advice Scaling
• Advice restoration in relation to 17,16,36,37
• Excisional biopsy
APPENDIX:
A capillary hemangioma (“strawberry” birthmark) is a benign (non-
cancerous) tumor made up of abnormal tiny blood vessels (capillaries).
Capillary hemangiomas may not be present at birth but usually appear
within the first 6 months of life.
They usually grow fast up to the age of 12 months and then they begin
to shrink in size between 12 and 15 months of age. Most go away
nearly completely by 5 or 6 years of age. Capillary hemangiomas are
more common in premature infants and in girls.
ETIOLOGY:
• Intra vascular thrombosis
• Mast cell infiltration
• TREATMENT:
• Medications prescribed
• Surgical excision
