DTUS0610

Oral Pathology DENTAL TRIBUNE | March 201012A AD Identify the swellings 1) The clinical differential diag- nosis may include: a) Hemangioma b) HIV related lesion c) Lymphanangioma d) Drug allergy e) Multiple mucosal neuromas 2) Which of following diagnostic tests may be useful (circle all that apply)? a) Pressure test b) Serology c) Biopsy Answers 1) a 2) a Going further… The following tests were performed: • Pressure test = positive • ELISA test = negative • Histopathology as shown below 3) The histopathological differential diagnosis is which of the following? a) Pyogenic granuloma b) Capillary hemangioma c) Hemangiopericytoma d) Hemangioendothelioma 4) Are the following statements about hemangioma true or false? a) Pressure test positive b) ELISA positive c) Histopathology shows endothelial proliferation d) Histopathology shows chronic in- flammatory cell infiltrate e) Histopathology shows stag horn pattern of vascular channels 5) All of the following statements are true about hemangioma except: a) A true neoplasm b) Hamartoma c) Common in darker-skinned indi- viduals d) Three times more common in females 6) Are the following statements about Hemangioma true or false? a) Hemangiomas are present since birth b) Hemangiomas are more common in the head and neck regions and rare in the oral cavity c) Hemangiomas can be seen cen- trally d) Central hemangioma can have sunburst appearance 7) Hemangioma is a feature of each of the following syndromes except: a) Struge-Weber syndrome b) Rendu-Osler-Weber syndrome c) Kasabach-Merritt syndrome d) Gorlin-Goltz Syndrome Discussion Hemangioma is a hamartoma. It is never seen at birth but develops within the first year of life. It is more common in the head and neck regions and rare in the oral cavity. It is more common in females. Its occurrence is more frequent in white-skinned individuals. It can be seen centrally. Radiographically, cen- tral lesions can have a sunburst or honeycomb pattern. Histopathologically, it shows areas of endothelial proliferation. Hemangioma is associated with many syndromes like Struge Weber, Rendu Osler Weber, Kasabach–Merritt. Treatment modalities includes injec- tion of sclerosing agents, intralesional injection of corticosteroids, flash lamp pulsed dye laser and embolization. Answers 3)b;4)a)true,b)falsec)true,d)false, e)false;5)c;6)a)false,b)true,c)true, d)true;7)d About the authors Dr. Ghom has more than 12 years of experience in the areas of teaching oral medicine and radiology and conducting scientific research. He has published textbooks on oral medicine, oral radiol- ogy and oral pathology as well as a mini atlas of oral medicine. Ghom is also the editor in chief of the Journal of the Indian Acadamy of Oral Medicine and Radiology. Dr. Anil Ghom, professor and depart- ment head, Oral Medicine and Radiolo- gy, CDCRI, Rajnandgaon, Chhattisgarh, India E-mail: dranil.ghom@gmail.com Dr. Anuja Holani, professor, Depar- ment of Oral Pathology, M.I.D.S.R. Den- tal College, Latur, Maharastra, India