19 Months Toddler with a Giant Oral Capillary Hemangioma, a Case Report

Abstract

Head and neck vascular tumors are common in children. Capillary hemangiomas are often easily confused with pyogenic granulomas due to histopathological resemblance. Furthermore, predisposing factors to pyogenic granulomas include an existing hemangioma, which may be co-existing entities. Surgical excision of large unsightly tumors causing functional deficits is a feasible management option. We report a case of a rapidly growing oral lesion in a toddler with feeding difficulties and anemia. It triggered a diagnostic dilemma as it was clinically consistent with a pyogenic granuloma but histologically diagnosed as a capillary hemangioma. It was successfully excised with no recurrence after 6 months.

Keywords:

• hemangioma
• pyogenic granuloma
• head and neck vascular tumours

Acknowledgments

We acknowledge the interdisciplinary team (Paediatric Oncology, Paediatric Anesthesiology, and Paediatric ENT) that was involved in the care of this patient. We also acknowledge parental consent to sharing this rare case with the scientific community.

Author Contributions

All authors made a significant contribution to the work reported in all these areas; conception, drafting, revising, and critically reviewing the article; agreed on all versions of the article before submission, during revision, the final version accepted for publication, and any significant changes introduced at the proofing stage; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

The authors declare no financial interest or other competing interest.