Srpski arhiv za celokupno lekarstvo 2016 Volume 144, Issue 9-10, Pages: 535-540
https://doi.org/10.2298/SARH1610535H
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Epithelioid hemangioma in the oral mucosa: A case report
Henriques Aguida Cristina Gomes (Federal University of Bahia, School of Dentistry, Laboratory of Surgical Pathology, Salvador, Bahia, Brazil)
Vidal Manuela Torres Andion (Federal University of Bahia, Department of Dentistry, Salvador, Bahia, Brazil)
Gurgel Clarissa Araujo (Federal University of Bahia, School of Dentistry, Laboratory of Surgical Pathology, Salvador, Bahia, Brazil)
Rocha Sanyra Lopes Dias (Federal University of Bahia, School of Dentistry, Salvador, Bahia, Brazil)
Carneiro Braulio Junior (State University of Southwestern Bahia, School of Dentistry, Division of Oral and Maxillofacial Surgery, Jequie, Bahia, Brazil)
Almeida de Azevedo Roberto (Federal University of Bahia, School of Dentistry, Division of Oral and Maxillofacial Surgery, Salvador, Bahia, Brazil)
dos Santos Jean Nunes (Federal University of Bahia, School of Dentistry, Laboratory of Surgical Pathology, Salvador, Bahia, Brazil)
Introduction. Epithelioid hemangioma is an uncommon benign vasoproliferative
neoplasm that usually manifests as multiple red nodules in middle-aged
adults. Case Outline. A 52-year-old male patient presented with a one-year
history of a nodular lesion in the left buccal mucosa measuring 3 cm. The
clinical hypothesis was lipoma. An excisional biopsy revealed a circumscribed
lesion composed of lobules of vessels with perceptible or poor lumina,
associated with a prominent inflammatory infiltrate consisting of
eosinophils, histiocytes and chronic inflammatory cells. The endothelial
cells composing the lesion had an epithelioid morphology and contained
abundant eosinophilic cytoplasm. Immunohistochemistry for CD34, factor VIII,
collagen IV, alpha-smooth muscle actin, and mast cells, as well as
histochemical staining with Weigert’s orcein were performed. Conclusion.
Vascular proliferations of soft tissues are a diverse and morphologically
complex group of lesions that are difficult to diagnose. This report presents
a case of oral epithelioid hemangioma, highlighting relevant morphological
and immunohistochemical features that could help distinguish this condition
from other neoplasms.
Keywords: angiolymphoid hyperplasia with eosinophilia, epithelioid hemangioma, oral mucosa