Abstract Vascular anomalies are clinically challenging lesions that include vascular malformations and vascular tumours. They may present with varying clinical signs and symptoms. There are often concerns of uncontrolled bleeding with regard to managing these lesions. They can be difficult to diagnose and even more difficult to treat depending on their site, size, and important adjacent structures. Here, we present a series of cases of vascular anomalies encountered in different parts of the oral cavity. Case Presentation 1: A 63-year-old Chinese male presented with lesion over the left tongue region which was asymptomatic. The lesion was completely excised under local anesthesia and reported as venous malformation. Upon follow-up, the healing was good, and no recurrence was noted. Case Presentation 2: A 60-year-old Malay female noted bluish swelling over the left buccal mucosa for the past 1 month, and the lesion was surgically excised under local anesthesia. The histopathological report indicated a cavernous hemangioma. The biopsy site showed good healing during follow-up review and no signs of recurrence. Case Presentation 3: A 77-year-old Chinese male developed swelling at the right corner of his mouth associated with several episodes of bleeding. Excisional biopsy was done under local anesthesia, and it was reported as a capillary hemangioma. Satisfactory healing was observed with no recurrence noted. The purpose of this manuscript is to distinguish the typical clinical presentation between different types of vascular anomalies and their management. For smaller lesions, surgical excision is a viable treatment option, keeping in mind to preserve vital adjacent structures while avoiding excessive or prolonged bleeding.
Kehayan et al. (Wed,) studied this question.