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. 2016 Jul 1;10(7):ZD01–ZD04. doi: 10.7860/JCDR/2016/18497.8080

[Table/Fig-8]:

A review of clinical features, treatment and prognosis of angiosarcoma involving primarily gingiva that was previously reported, together with the present case.

Sl. No Author Year Age/ Sex Location Primary
Symptoms and
Signs
Clinical findings Treatment Follow-up
1. Henny [6] 1949 3mo/M Anterior part of right maxilla A small lump in anterior part
of the right maxilla for one
month
Firm, well-circumscribed mass with extension posteriorly to the palate and laterally to the cheek Initial Incision Later:
Electorocaguation
No recurrence
after 2 years
and 3 month
2. Blake and Blake [7] 1956 26y/M First molar area
of left
mandible
A lesion on the ridge of first
molar area in the left
mandible no pain for one
month
A soft tissue mass of the
first molar area in the
left mandible lobular
in appearance, round
in shape, red in colour
Initial: Incision Later: "Removal No recurrence
after 2 years
and 4 mo
3. Quinn et al., [8] 1970 65 y/M Maxillary and
mandiblar
gingiva
Multiple lesions
in the oral
cavity for 1
month
Multiple pedunculated
superficially ulcerated
large hemorrhagic
friable lesion in the gingiva, painless
Excision, Radiotherapy Died after 1 mo and 3
Weeks (unknown)
4. Albright et al., [9] 1970 34 y/M Anterior part of
right
mandible
A gingival mass
in the right
mandible for three month
An elevated hyperemic lobulated tumour on the lingual gingiva between the
mandiblar right
canine and premolar teeth
Initial: excision Later: wide removal No recurrence after 6 months
5. Piscioli et al., [10] 1986 86 y/F Gingiva of the
left
mandibular molar area
A gingival mass
for one week
A soft hemorrhagic
nodule on the gingival of left mandibular molar area
Excision Died after 1 month (heart failure)
6. Carr and Green [11] 1986 66 y/M Right maxillary
gingiva
Bleeding from the gingival for 10 days A large rubbery friable
hemorrhagic mass on a broad base arising from the edentulous alveolus between the upper right canine and second molar teeth
Unknown Died (metastases)
7. Kashima et al., [12] 1994 39 y/M Anterior part of
right
mandible
Pain for 10 months Ulcer between the lower
right central inclsor
and the right lateral incisor
Mandibulectomy Died after 3 years and 1 mo
(metastasis)
8. Kashima et al., [12] 1994 7 y/F Left mandible A painless mass for one month Mass between the lower
left lateral incisor and
first molar teeth, dark violet in colour
Initial: Excision Later:
Mandibulectmy
Died after 1 year and 1 month
(metastasis)
9. Margiotta et al., [13] 1994 62 y/M Right mandible A mass in the
right
mandible
An ovoid, sessile, ill-defined
mass, painless
Excision Unknown
10. Muffoz et al., [14] 1998 68 y/M Right mandible A mass in the right retromolar
trigone for one week
A non-ulcerated sessile slightly painful mass
in the right retromolar
trigone, brown in colour
Partial mandibulectomy Died
(recurrence)
11. Abdullah et al., [15] 2000 60 y/F Mandibluar
gingiva
A slight elevated reddish-blue nodule in the oral cavity A reddish-blue nodular mass on the lower
Anterior gingiva
Refusal Unknown
12. Florescu M [3] 2005 70 y/M Alveolar crest of
mandible
The tumour was soft, white-gray colour, with
disseminated areas of hemorrhage
A nodular mass, with undefined limits and maximum diameter of 4 cm. Unknown Unknown
13. Uchiyama et al., [4] 2009 59 y/M Left maxilla Bleeding and
swelling of
the left
maxillary
gingiva for few months
A regular mass around
the left upper molar
area, violet in color
Initial: maxillotomy and chemotherapy.
Later: boron neutron therapy and lymphokine
activated killer cells
treatment
No recurrence
after 3 y
14. Terada T [1] 2011 77y/F Mandibular gingiva
posterior to the front tooth
- Polypoid reddish mass measuring 1.5 x 1.5 x 1cm in the mandibular gingival posterior to the front tooth Radical operation Unknown
15. Sumida T [17] 2012 55y/F Anterior region of the
mandibular gingival
The epulis was a soft exophytic nodular mass, with
well defined limits and a maximum diameter of 10 mm
The tumour was soft, whitepink in colour, with easy bleeding. The operation was performed with about a
20-mm surgical margin that was negative for tumour invasion.
4-year follow-up, no
metastatic lesions have been found
16. Aditya A [18] 2012 75y/F Gingival growth in the right maxillary region Pain was
present for the last 15 days; however, she could not indicate the onset and duration of the growth.
A lobulated, sessile mass involving
the gingival and alveolar mucosa in the maxillary right molar region. The mass was 3 cm, soft to firm in
consistency and slightly tender, with moderate bleeding.
The patient declined any therapy Unknown
17. Present case 2016 30 y/F Mandibular anterior gingiva The growth started 2 months ago, as a small sessile painless growth progressively increased to attain the size of 3×3 cm soft sessile growth arising from the labial gingiva in relation to 31 and 41 on the labial aspect extending distal to 32 The operation was performed with about a 20-mm surgical margin that was negative for tumor invasion 2 years follow-up, no recurrence and metastatic lesions were found.