A case presentation and management of a hamartomatous vascular lesion of a patient with kaposi sarcoma
Abstract
Objectives: Intraosseous vascular lesions of the mandible are uncommon and often difficult to diagnose. This report presents the clinical, radiographic, and histopathological findings of such a lesion in an elderly patient with a history of Kaposi sarcoma, emphasizing diagnostic challenges and management considerations.Case Report: A 73-year-old male with a medical history of Kaposi sarcoma was referred for evaluation of an edentulous mandible. Panoramic radiography and cone-beam computed tomography (CBCT) revealed a well-defined hypodense lesion adjacent to the mandibular canal, measuring 41 × 19 × 11 mm. The lesion demonstrated cortical thinning without expansion or perforation. An incisional biopsy revealed vascular lumens, and the final diagnosis was a hamartomatous vascular lesion. Considering the patient’s advanced age and medical condition, conservative management with regular clinical and radiographic follow-up was chosen.
Conclusion: Although intraosseous vascular lesions of the mandible are rare, they should be included in the differential diagnosis of radiolucent jaw lesions. Radiographic and histopathological evaluations play a crucial role in diagnosis. In medically compromised or elderly patients, conservative management with close monitoring can be a suitable treatment option.
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2. Gómez Oliveira G, García-Rozado A, Luaces Rey R. Intraosseous mandibular hemangioma: a case report and review of the literature. Med Oral Patol Oral Cir Bucal. 2008;13:E496-8.
3. Madiraju GS. Pediatric intraosseous hemangioma of the anterior mandible. Oral Oncol. 2020;108:104951.
4. Jorge M, Brinkmann J, Corchón A, Ocaña R. Diagnostic challenge and management of intraosseous mandibular hemangiomas: a case report and literature review. J Korean Assoc Oral Maxillofac Surg. 2021;47:321-6
5. Sepulveda I, Spencer ML, Platin E, Trujillo I, Novoa S, Ulloa D. Intraosseous hemangioma of the mandible: case report and review of the literature. Int J Odontostomatol. 2013;7:395-400.
6. Elif B, Derya Y, Gulperi K, Sevgi B. Intraosseous cavernous hemangioma in the mandible: a case report. J Clin Exp Dent. 2017;9:e153-6.
7. Kocak B, Kizilkilic O, Zeynalova A, Korkmazer B, Kocer N, Islak C. Evaluation of sporadic intracranial cavernous malformations for detecting associated developmental venous anomalies: added diagnostic value of C-arm contrast-enhanced cone-beam CT to routine contrast-enhanced MRI. Eur Radiol. 2019;29:783-91.
8. Chandra SR, Chen E, Cousin T, Oda D. A case series of intraosseous hemangioma of the jaws: various presentations of a rare entity. J Clin Exp Dent. 2017;9:e1366-70.
9. Kochaji N, Ajalyakeen H, Fakir A, Al-Mozaik AAS. Intraosseous hemangioma of the mandible: a rare case report. Int J Surg Case Rep. 2023;109:108496.
10. Dincer Kose O, Tanyel C, Kose TE, Erdem MA, Cankaya AB. Tooth extraction from a patient with cavernous hemangioma in maxillofacial region: case report. J Istanbul Univ Fac Dent. 2016;50:51-4.
11. Zhao K, Melamud K, Hindman N. Peripheral vascular lesions in adults referred to MRI/MRA: multivariable analysis of imaging features to help differentiate benign vascular anomalies from malignancies. Clin Imaging. 2022;91:45-51.
12. Nabeel AK, Jacob JE, Bose T, Sangeetha KP, Sandhya KN, Balan A. Great radiologic imitators: arteriovenous malformation of mandible – a case series. Contemp Clin Dent. 2018;9:502-8.
13. Ji Y, Chen S, Yang K, Xia C, Li L. Kaposiform hemangioendothelioma: current knowledge and future perspectives. Orphanet J Rare Dis. 2020;15:39.
14. Scott C, Holden A. Major haemorrhage from oral arteriovenous malformation during pregnancy: a case report. Aust Dent J. 2022;67(2):178-82. doi:10.1111/adj.12895.
15. Dhiman NK, Jaiswara C, Kumar N, Patne SCU, Pandey A, Verma V. Central cavernous hemangioma of mandible: case report and review of literature. Natl J Maxillofac Surg. 2015;6:209-13.
Published
2025-12-31
How to Cite
ERBALTA, Rana et al.
A case presentation and management of a hamartomatous vascular lesion of a patient with kaposi sarcoma.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 3, p. 183-187, dec. 2025.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1436>. Date accessed: 29 jan. 2026.
doi: https://doi.org/10.32793/jrdi.v9i3.1436.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
