Abstract

CRUZ, Fernando Luiz Goulart et al. Differential diagnosis of hemangioma by diascopy. RGO, Rev. gaúch. odontol. (Online) [online]. 2011, vol.59, n.1, pp. 125-129. ISSN 1981-8637.

Hemangioma is a benign neoplasm or hamartoma whose main characteristic is blood vessel proliferation. Its etiology is related to congenital anomalies, physical trauma and endocrine and inflammatory stimuli of unknown etiology. The main complaint of patients with hemangiomas is their unsightliness. Depending on their size and location, they can cause facial asymmetry or affect organ function. When they are located on the floor of the mouth, these lesions cause functional mastication, deglutition and speech problems. Hemangiomas need to be distinguished from mucoceles, vascular stains and malformations and other childhood vascular tumors. This information allows the differential diagnosis to be established in a simple and safe manner by medical history, clinical examination and simple tests, such as diascopy. When the lesion is pressed with a glass slide, it blanches and shrinks because the blood in the lesion is pushed out. Incisional biopsies are not indicated because of the risk of bleeding. Treatments for hemangiomas are extensively discussed in the literature and include radiotherapy, electrocoagulation therapy, laser therapy, cryotherapy, surgery, sclerotherapy, interferon therapy and follow-up. This paper presents the clinical case of a patient with buccal hemangioma.

Keywords : Diagnosis; Hemangioma; Neoplasm.