Giant Congenital Hemangioma of the Tongue: sporadic finding in a female Bulgarian patient with Hidradenitis suppurativa!

Hemangiomas are benign tumors, most commonly located in the head and neck region, showing a notoriously higher prevalence in females (3:1). They usually affect eyelids, lips, nose, chin and oral cavity [1,2]. Hemangiomas are mainly divided into congenital and acquired type. Path morphologically they are classified as capillary, cavernous or miscellaneous forms, and according to their depth as superficial, deep or compound. The evolution of hemangiomas usually goes through three stages: endothelial cell proliferation, accelerated growth and involution. The involution of congenital hemangiomas in turn can be like rapidly involuting congenital hemangioma (RICH) or never involute (noninvoluting congenital hemangioma; (NICH). According to the literature hemangiomas are a common tumor in infancy, and they usually resolve within the age of 10 [1, 3].