Cavernous hemangioma of mandible: A rare case report

Intraosseous vascular lesions are rare conditions, comprising only 0.5-1% of all intraosseous tumors. Found mainly in the second decade of life, especially in female. Vertebral column and skull are the most common sites; nevertheless, the mandible is a quite rare location. Hemangiomas are benign vasoformative neoplasms of endothelial origin. However, the origin of central hemangioma is debatable. Some authors believe that it is a true neoplasm, whereas others state it as a hamartomatous lesion. The clinical and radiographic presentation is relatively nonspecific; therefore, a proper diagnosis has to be made. Clinically, the patient may be completely symptom-free or may present pulsatile bleeding, slow growing bluish mass, mobile teeth, and deranged dentition, early dental exfoliation and discomfort in normal life. Cavernous hemangioma produce dilemma in diagnosis with neoplasms such as ameloblastoma, cystic lesions such as residual cyst, keratocyst, osteosarcoma, central giant cell granuloma, multiple myeloma, and fibro-osseous lesions such as fibrous dysplasia. Among various treatment modalities, surgery is frequently used. A case report of 14-year-old male patient with cavernous hemangioma of right mandibular body with vague clinical features, but a characteristic radiographic and histological picture is presented here