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A hemangioma on the floor of the mouth presenting as a ranula

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November 1, 2008
by Charalampos E. Skoulakis, MD, Lubna Khaldi, MD, Demetre Serletis, MD, and Themistoklis Semertzidis, MD


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, a lymphatic nodular swelling, or embryologic cysts. We report a patient with swelling in the floor of her mouth that was clinically diagnosed as a ranula. Suspicion arose during surgery that it was a vascular tumor and, on histologic testing, the swelling was confirmed to be a hemangioma. To our knowledge, this is the first report in the literature of a hemangioma presenting as ranula.

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