IN SEARCH OF AN APPROPRIATE CLINICAL DIAGNOSTIC TERM WITH INDEFINITE ETIOLOGY. A CASE SERIES ON LOBULAR CAPILLARY HEMANGIOMA

Lobular capillary hemangioma, a benign vascular tumor of the skin or mucous membranes characterized by rapid growth and a friable surface, is widely but inappropriately termed pyogenic granuloma (now considered a misnomer by some theories) due to lack of evidence for infectious etiopathogenesis. Some studies pro-mote the theory of a hyperplastic, neovascular response to an angiogenic stimulus with imbalance of promoters and inhibitors. Here we present a series of 4 cases of patients who visited the Oral Medicine OPD with a complaint of similar painless malformations showing granulomatous and/or fibrous tissue proliferation and which, after thorough history taking, clinical ex-amination and excisional biopsy, were revealed to be lobular capillary hemangioma under histopathologic diagnosis. The following discussion revolves around the fact that, even though such exophytic lesions may present with variable features, a proper, accurate and logical diagnostic entity may be used to help in better coordination among the oral physician, oral pathologist and oral surgeon in framing the desired treatment plan.

Automated summary

This study reports 4 cases of patients in the Oral Medicine OPD with painless malformations, which were diagnosed as lobular capillary hemangioma through thorough history taking, clinical examination, and excisional biopsy. The discussion emphasizes the importance of using a proper diagnostic entity to facilitate coordination among oral physicians, oral pathologists, and oral surgeons in framing the treatment plan.