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Year : 2015  |  Volume : 27  |  Issue : 2  |  Page : 286-290

Cavernous hemangioma in the floor of oral cavity masquerading as a ranula

1 Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT University, Gurgaon, Haryana, India
2 King George Medical University, Lucknow, Uttar Pradesh, India
3 Hazaribag College of Dental Sciences, Hazaribag, Jharkhand, India

Correspondence Address:
Puneeta Vohra
Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT University Hospital, Budhera, Gurgaon - 122505, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-1363.170161

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A painless, bluish, submucosal swelling on one side of the floor of the mouth usually indicates the presence of a ranula. Rarely, such a swelling may be caused by an inflammatory disease process in a salivary gland, a neoplasm in the sublingual salivary gland, hemangiomas, a lymphatic nodular swelling, amyloidosis, or embryologic cysts/dermoid cyst. We report a 35-year-old female patient with swelling in the floor of her mouth that was clinically diagnosed as a ranula due to negative diascopy, the site of swelling, and the age of patient. Because of a strong clinical suspicion of a ranula, diagnostic methods such as angiography and magnetic resonance imaging (MRI) were not used in our case. A preoperative diagnosis was not truly established. We report a case of hemangioma in the floor of the mouth masquerading as a ranula. Although a rarity, vascular malformations should always be ruled out by using digital subtraction angiography and MRI studies before going for surgical intervention.

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