Intra oral verrucous hemangioma − a fierce entity

A 9-year-old girl reported with the complaint of discomfort in her upper jaw for the past 6 months. She also gave history of occasional sense of bleeding inside her mouth. On intra oral examination, multiple purplish red papules with warty surface were seen extending from the mid posterior hard and soft palate region involving the left side. The lesions appeared coalesced in the mid soft palate region and was compressible to some extent (Fig. 1) . The discomfort experiencedby the patientwasdue to the verrucous growth and bleedingmay bedue to trauma to the lesion fromfood. Thedifferential diagnoses thatwereconsidered include intra-oral Verrucoushemangioma, lymphangioma circumscriptum and verrucous epidermal nevus. Incisional biopsy was performed under local anesthesia and it was confirmed histopathologically (Fig. 2) as Verrucous Hemangioma. These are benign lesions that has to considered in the diagnosis of vascular lesions with a verrucous appearance. Fig. 1. Clinical image of the palate showing multiple purplish red papules.