Treatment of hemangioma in labial mucosa by sclerotherapy: clinical case report

Emerson Lucas da Silva Coimbra, Mariana Pedreira Panceiro, Felipe Lage da Rocha, Roberto Gomes dos Santos, Gustavo Gaffrée Braz, Monica Lage da Rocha

Abstract


Hemangioma is a vascular lesion, and may represent a benign neoplasm of blood vessels, relatively rare in the oral cavity, and may cause aesthetic and functional impairment depending on its region. Its most frequent location is the upper lip, but may occur in other regions, such as tongue, jugal mucosa and palate. Its treatment depends mainly on the correct diagnosis of the lesion, as well as its anatomical location and can be performed with chemical sclerosis, cryotherapy, laser therapy, conventional surgical excision, arterial embolism or electrocautery. The aim of this paper is to present a case report of a 63-year-old male patient with hemangioma since he was 16 years old, with a recurrence of the upper lip for 10 years. Physical examination revealed an asymptomatic purplish-colored, lesion-shaped tumor with well-defined limits, measuring approximately 4 cm in its largest diameter, located in the upper lip mucosa. A vitropression maneuver was performed that showed a faint purplish coloration, allowing a clinical diagnosis of hemangioma. The proposed treatment was therapeutic sclerosis with five applications of 5% monoethanolamine oleate, considering the clinical characteristics and diagnostic methods of this lesion. Through an accurate diagnosis and an appropriate therapeutic approach, the case presents a two-month follow-up with significant reduction so far, and a satisfactory functional aesthetic result. It is concluded that the effectiveness of sclerotherapy performed with the use of 5% monoethanolamine oleate is a safe therapeutic alternative.

Keywords


Hemangioma; Oral medicine; Sclerotherapy

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DOI: https://doi.org/10.22456/2177-0018.97105

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