Intravascular papillary endothelial hyperplasia: a case report

• Published in: Journal of oral medicine and oral surgery Vol. 25; no. 1; p. 8
• Main Authors: Nayl, Catherine, Fenelon, Mathilde, Catros, Sylvain, Fricain, Jean-Christophe
• Format: Journal Article
• Language: English
• Published: Les Ulis EDP Sciences 2019
• Subjects: Anesthesia; Case reports; Diodes; endothelial; Hemorrhage; Hyperplasia; Mucosa; Patients; Surgery; tumefaction
• ISSN: 2608-1326; 2608-1326
• DOI: 10.1051/mbcb/2018022

Case report: A 71-year-old patient, with no notable medical-surgical history, was referred for a specialized consultation with Oral Mucosal Pathology for tumefaction on the dorsal side of the tongue. It was a nodular lesion measuring one centimeter long, purplish, and painless. There was nothing found through palpation. Surgical excision with a laser diode was performed under local anesthesia. The postoperative follow-up was simple. The patient was seen 3 months later without any sign of recurrence. Histopathological analysis revealed a vegetative intravascular hemangioendothelioma. Comments: This case is rare because of the location of the tumor, and moreover because the subject is male. A laser diode was chosen to resect the lesion because of the purple color which could have resulted in a possible vascular lesion. Indeed, the limits of excision were coagulated, which facilitated the surgery time and any limited postoperative hemorrhagic complications that could have occurred.