Table 1.

Describes the differential diagnosis of the present case

Lesion	Clinical features	Histo-pathological features	Differentiating features
Angiosarcoma	Mimics aggressive pyogenic granuloma	Made of disorganized proliferation of endothelial cells Interconnecting vascular channels	Occurs in older age group Endothelial cells are atypical and polyhedral Vascular channels invade the deeper connective tissue
Capillary hemangioma	Multinodular bluish red in color	Proliferation of capillaries	More common in children Endothelial cells are more plump No acute inflammatory cells
Epitheloid hemangioendothelioma	Exophytic, ulcerated, painless red mass	Proliferation of epitheloid like endothelial cells	Rare in the oral cavity More common in submandibular region Intracytoplasmic vacuoles in epitheloid cells
Kaposi Sarcoma	Raised nodule with bright red appearance	Atypical vascular channels, extravasated RBCs, inflammatory cells	HIV associated lesion Occurs in the palate Vascular clefts, intracellular hyaline globules
Bacillary Angiomatosis	Raised, nodular lesion appearing bright red. Occasional alveolar bone loss	Proliferating capillaries arranged around ectatic vessels	HIV associated lesion Epitheloid endothelial cells noted Eosinophilic aggregates containing fibrin and bacilli