An Unusual Lingual Ulcerated Capillary Angioma After Dressmaker Needle Trauma, Above Migratory Glossitis Lesion, ina Patient With a History of Cancer: A Case Report

Cinzia Casu

First

Investigation

;Andrea Butera;Clara Gerosa

Methodology

;Andrea Scribante;Martina Salvatorina Murgia

Penultimate

Methodology

;Germano Orru

Last

Supervision

2025-01-01

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Abstract

Vascular malformations are relatively common benign proliferative lesions of vascular and connective tissue origin that canpresent in oral regions, such as on the tongue. Etiological factors include genetic mutations or molecular changes related tosyndromes, trauma, vascular wall resistance to blood flow, and may form part of other systemic diseases. Clinically, they canbe extremely heterogeneous, and they can also cause important diagnostic doubts. Migratory glossitis is a very common oralcondition in the general population, linked to immunological factors, sometimes connected with intestinal health problems.The aim of this work is to report an atypical case of ulcerated angioma on the tongue and the contemporary presence ofmigratory glossitis. A 54-year-old Caucasian female with a history of an intestinal cancer presented a particular exophyticlesion on the tip of the tongue where the hypothetical diagnosis of oral metastasis had been included, also for the rapid onsetof the oral lesion. The dressmaker’s needle trauma related to the patient’s work activity could have been the triggering factorfor the appearance of the neoformation. The diagnosis after histological evaluation was ulcerated capillary angioma. Due to theunusual presentation of this type of lesion, it is needed to reconsider current knowledge on the etiopathogenesis of vascularlesions and its clinical inclusion in the differential diagnosis.