Case 35:  

    A 50 yr old male patient reported with the chief complaint of swelling in the right upper back tooth region since 3 years. Growth started initially as a small swelling and progressed to present size. Pain in the area is intermittent in origin and is associated with bleeding. On intra oral examination, a nodular swelling was present in the palatal aspect of 16 and 17. The growth was rectangular in shape, 2x3cm in size, red in color and soft in consistency and was attached to underlying bone. It was tender on percussion and bleeds on probing. Medical and family history was not relevant. Patient was occasional smoker.
       Extra orally, a diffuse reddish patch was seen on the right half of face, not crossing the midline and a diffuse swelling was seen on the upper lip crossing the midline. Blood investigations showed normal values and angiography impression was normal. Incision biopsy from the palatal mucosa in relation to 16 was submitted for histopathology.
      We would like to know whether this intraoral lesion is associated with cutaneous face and lip lesions and whether the histopathogical findings fit into the acquired tufted angioma diagnosis (variant of capillary hemangioma).


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