A Comprehensive Study of Lobular Capillary Haemangioma in the Palate: Insights from a Single Case Report

hemangioma case report

  • Baisakhi Mallick Dr Baisakhi Assistant Professor
Keywords: Oral Vascular Tumor, Lobular Capillary Hemangioma, Palatal Lesion, Case Report

Abstract

Background: Lobular capillary hemangioma (LCH), commonly known as pyogenic granuloma, is a benign vascular lesion that rarely occurs on the palate. Its atypical presentation can complicate diagnosis and treatment.

Aims: This case report aims to highlight the clinical presentation, diagnostic challenges, and multidisciplinary management of a rare palatal LCH.

Materials and Methods: A 19-year-old female presented with a reddish, lobulated lesion on the left hard palate and gingiva, associated with bleeding and tooth mobility. Clinical examination, diascopy, CT imaging, and histopathology confirmed the diagnosis. Surgical excision with extraction of involved teeth and use of diathermy was performed, followed by secondary healing.

Results: Histopathological analysis confirmed LCH. Postoperative healing was uneventful, with no recurrence at one- and three-month follow-ups.

Discussion: Early diagnosis and tailored surgical intervention are critical in managing oral vascular lesions to prevent complications.

Conclusion: Comprehensive evaluation and individualized treatment ensure favorable outcomes in rare cases of palatal LCH.

References

1. Bhaskar, S. N., & Jacoway, J. R. (1966). Pyogenic granuloma—Clinical features, incidence, histology, and result of treatment: Report of 242 cases. Journal of Oral Surgery, 24(5), 391–398.
2. Jafarzadeh, H., Sanatkhani, M., & Mohtasham, N. (2006). Oral pyogenic granuloma: A review. Journal of Oral Science, 48(4), 167–175. https://doi.org/10.2334/josnusd.48.167
3. Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2016). Oral and Maxillofacial Pathology (4th ed.). Elsevier.
4. Regezi, J. A., Sciubba, J. J., & Jordan, R. C. (2016). Oral Pathology: Clinical Pathologic Correlations (7th ed.). Elsevier.
5. Smitha, T., Mohan, M., & Patil, S. (2012). Capillary hemangioma of the palate: A rare entity. Journal of International Oral Health, 4(2), 42–46.
6. Kamal, R., Dahiya, P., & Puri, A. (2015). Oral pyogenic granuloma: Various concepts of etiopathogenesis. Journal of Oral and Maxillofacial Pathology, 16(1), 79–82. https://doi.org/10.4103/0973-029X.98450
7. Mills, S. E., Cooper, P. H., & Fechner, R. E. (2012). Lobular capillary hemangioma: The underlying lesion of pyogenic granuloma. The American Journal of Surgical Pathology, 4(5), 470–479.
8. International Society for the Study of Vascular Anomalies (ISSVA). (2018). ISSVA classification of vascular anomalies. Available from: https://www.issva.org/classification
9. Epstein, J. B., Zhang, L., & Poh, C. (2002). Diagnosis and management of vascular lesions of the oral cavity. Journal of the Canadian Dental Association, 68(6), 292–296
Published
2026-04-27
How to Cite
Dr Baisakhi, B. M. (2026). A Comprehensive Study of Lobular Capillary Haemangioma in the Palate: Insights from a Single Case Report. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 12(2). https://doi.org/10.21276/ujds.2026.12.2.26
Section
Oral and Maxillofacial Surgery