PMC10198171_01
Intra operative view; (A) Showing extensive lesion (yellow arrow) pushing tongue (black arrow) to the right. (B) Showing sessile base of oral lesion in the floor of mouth (yellow arrow showing oral lesion, black arrow showing tongue). (C) Showing the excised lesion (yellow arrow).
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She had a normal cry, with moderate anterior drooling and a large oral mass (5*4*3 cm) arising from the left floor of mouth, which occluded three-quarters of her mouth (Figure 1A). The easily friable lesion had a sessile base extending from 1 cm posterior to the frenulum, to the retro-molar trigone on the left with serpentine vascular vessels across the left floor of mouth (Figure 1B). The lesion was completely enucleated (Figure 1C).
Under haematoxylin and eosin, x4 image shows proliferation of capillaries lined by normal epithelium and filled with blood, with a pyogenic membrane and a chronic inflammatory cellular filtrate.
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Histology showed a diagnosis of capillary hemangioma secondarily infected (Figure 2).
Pre-surgical view (A) Shows tongue pushed to the right (black arrow) by the oral lesion (yellow arrow). The post-surgical view (B) 6 months later shows healed floor of mouth (red arrow).
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