Although an atypical location, the findings are characteristic of hemangioma. The treatment depends upon lesion location, size and evolution stage and the patients age. Dec 26, 2016 this young man had a large hemangioma of tongue which caused him extreme difficulties in eating, chewing, swallowing, speech and also teeth irregularities. Hemangioma is the most common soft tissue tumor of childhood 1,3,5. It is usually presents at birth but can occur rarely in adults due to frequent trauma to the blood vessels of mucosa. Here we report a case of hemangioma of the body of the tongue, discussing the diagnostic aspects and treatment modalities of such lesion and emphasizing the role of the color doppler ultrasonography, especially in the diagnosis and treatment. She was also able to detect a whirring sound within the lesion. Pdf cavernous hemangioma of the tongue researchgate.
On examination, we noticed a bluish swelling on the tongue of patient. They often develop on the face and neck, and can vary greatly in color, shape, and size. Although hemangioma of the tongue is not a rare lesion among head and neck vascular malformations, we explained an unusual cavernous. Current management of hemangiomas and vascular malformations. Advanced diagnostic imaging may be important in evaluation of the malformation and deciding on the best approach to treatment. Ultrasonography of the tongue demonstrated mixed echogenous lesion 22 x mm with small cystic areas and increased vascularity confirming the diagnosis of hemangioma causing macroglossia tablefig7.
A hemangioma is a noncancerous tumor made up of blood vessels. Patient was diagnosed as a case of haemangioma with. Occurrence of the hemangioma within the jawbones is. When they do appear, they may first show up as a small bruise, scratch or tiny red bump. Mumbai, india 2 cumballa hill hospital, mumbai, india 3 department of pathology, tata memorial. Lobular capillary hemangioma pyogenic granuloma is a reactive proliferation of blood vessels that occurs in adults and during pregnancy. Hemangioma of base of tongue sajid s qureshi 1, devendra a chaukar 1, kumar a pathak 1, vikram d sanghvi 2, tanuja sheth 3, nh merchant 4, anil k dcruz 2 1 department of head and neck oncology, tata memorial hospital. Treatment was started with omnacortil syrup prednisolone sodium 5 ml thrice daily for two weeks and then the dose was tapered for another. A deep hemangioma or cavernous hemangioma is a protrusion with an overlying telangectasia. Hemangioma is a benign tumor of dilated blood vessels. A liver hemangioma is made up of a tangle of blood vessels. Laser photocoagulation of vascular malformations of the tongue. Vascular malformations also more commonly occur in whites. Hemangioma, the most common tumor of infancy, affects as many as 12% of whites, but it rarely occurs in darkerskinned individuals.
It looks like a rubbery bump and is made up of extra. It was first reported in 1841 as bluish excrescence and erectile tissue 2. She gave a history of the swelling present from the age of eleven years and a gradual increase in size over the last five years. Pdf, epub, full text, audio unceasing customer service. Treatment of cavernous hemangioma of the tongue by continuous intraarterial infusion of 5fluorouracil w. Lesions of tongue that are localized superficially can also be treated with direct puncture and injection of sclerosing agent absolute ethanol. Mri of the head and neck shows a lobulated mass involving the anterior part of the oral tongue. The management of a large hemangioma of the oral cavity with cryotherapy. Treatment of giant hemangiomas of the liver by enucleation.
Vascular anomalies include a wide range of tumors and malformations. However, some cases may require treatment, such as skin hemangiomas that develop ulcerations or sores. The few studies on benign oral vascular lesions frequently do not distinguish between oral hemangioma and vascular malformation, or regard oral vascular malformation as a histological type of hemangioma, known as arteriovenous hemangioma. Giant hemangioma of the liver with pain, fever, and abnormal liver tests. Aug 14, 2019 a liver hemangioma hemanjeeomuh is a noncancerous benign mass in the liver. Hemangiomas are seen most commonly on cheeks, upper lip and upper eyelids on head and neck while they are observed in very small proportions. Hemangiomas are benign proliferations of vessels that closely resemble normal.
Hemangiomas are classified as capillary and cavernous on the basis of the vascularization system. It is most commonly seen in the head and neck region and rarely in the oral cavity. Review of literature tarun ahuja, nitin jaggi, amit kalra, kanishka bansal, shiv prasad sharma 10. We report here a case of a 34yearold female patient with a swelling on the lateral surface of tongue which did not respond to the sclerosing agent and was.
Oral hemangioma is a common entity and represents 14% of all hemangiomas 1. Factors such as patients age, size and site of lesion and the proximity of lesion to vital structure are paramount in the determination of the. Intramuscular hemangiomas in the oral region are most commonly seen in the masseter, compromising 5% of all intramuscular hemangiomas. Cavernous hemangioma, hemangioma, tongue hemangioma. The head and neck region is the most common site for hemangioma development about 60% of cases 3.
Feb 18, 2015 the presence of vascularity in hemangioma differentiates it from the above condition. A benign tumor formed by a collection of excess blood vessels. Most hemangiomas that occur at birth disappear after a few months or years. Other terms for a liver hemangioma are hepatic hemangioma and cavernous hemangioma. Hemangioma of tongue needs special consideration due to susceptibility to trauma, bleeding and ulceration, it may also become a cause of difficulty in breathing and dysphagia. Hemangiomas are benign tumors that usually develop within the first few weeks of life. Relevant literature studies with the patients symptoms and treatment information was discussed and presented.
There are many types of hemangiomas, and most occur on the surface of the skin or just beneath it. Patient c has associated phaces syndrome with carotid and aortic arch abnormalities. A hemangioma hemanjeeomuh is a bright red birthmark that shows up at birth or in the first or second week of life. Color atlas of pediatric dermatology samuel weinberg, neil s. These tumors have usually disappeared in 50% of cases by time children are aged 5 years and almost all cases. Hemangioma, tongue, radiofrequency introduction tongue hemangioma is benign vascular tumors. Case report we present a case of a 48 years old female patient, where we performed embolization of cavernous haemangioma with mixture of absolute ethanol and oil contrast. Our team of pediatric ents at johns hopkins and evaluate children with hemangiomas and vascular malformations, particularly those malformations that involve the mouth, throat, saliva glands, or airway. Their similarity to normal vessels is so great that it is not clear that they represent vessel malformations true neoplasms or hamartomatous overgrowths. Lingual cavernous hemangioma in a nepalese boya difficult.
Here we report a case of hemangioma of the body of the tongue, discussing the diagnostic aspects and treatment modalities of such lesion and. Hemangiomas in the oral cavity are always of clinical importance and require appropriate treatment. Tongue hemangioma is a rare benign vascular tumor that causes bleeding, difficulty in breathing, chewing and speaking and pain. Twenty years ago, this 82 yearold patient developed a painless, slowlygrowing, raised, bluish tongue hemangioma although hemangiomas are common in infancy and childhood, they are probably developmental abnormalities rather than true neoplasms. Although common in the head and neck region, those occurring within the oral cavity and tongue are exceedingly rare. Mar 21, 2018 diagnosis and management of oral vasoformative tumors and oral hemangiomas span a wide range of options.
A hemangioma may be visible through the skin as a birthmark, known colloquially as a strawberry mark. The lesion appeared rather superficial, well confined, and without invasion of deeper muscle layers. Infantile hemangiomas what is an infantile hemangioma. All other abnormalities are malformations resulting from anomalous. Postoperative view 10 days after surgical procedure. Hemangiomas are seen most commonly on cheeks, upper lip and. The hemangioma appears on the surface of the skin as a spongy mass. Variable morphologic appearances of hemangioma, illustrated in patients af. Treatment of cavernous hemangioma of the tongue by continuous. Hemangioma of base of tongue qureshi ss, chaukar da, pathak.
Most cases of liver hemangiomas are discovered during a test or procedure for some other condition. Tongue hemangioma is a benign vascular tumor that causes bleeding, difficulty in breathing, pain, difficulty in chewing and speaking. Compound hemangiomasor capillary cavernous hemangioma compraises of both deep and superficial components 3. Hemangioma is a benign proliferation of blood vessels. Small foci of hypointense t2 signal are seen, compatible with flow voids. Most of the haemangiomas are asymptomatic and can be treated conservatively. Treatment of oral vasoformative tumors can be divided into 2 broad categories. Tongue hemangioma is a rare benign vascular tumor that.
Pdf hemangioma is a benign tumor of dilated blood vessels. We report a 5yearold boy with a swelling over the anterior third of tongue post failed conservative therapy eventually treated with surgical excision and confirmed histologically as a cavernous hemangioma probably first of its. Among vascular anomalies, hemangioma is the most common. May 15, 2019 an infantile hemangioma is a birthmark that consists of an abnormally dense group of blood vessels. Hemangiomas are seen most commonly on cheeks, upper lip and upper eyelids on head and neck 4. Sep 26, 2019 a single, small hemangioma usually requires no treatment. Three areas of doubtful margins were again excised, and all tissue specimens were submitted for microscopic diagnosis. Volume 25 cavernous hemangioma of tongue 543 xumber 4 fig. Hemangiomas are benign tumours of infancy and childhood, most commonly located in the head and neck region and occur more frequently in the lips, tongue and palate. It is most commonly seen in the head and neck region and rarely in the oral cavity find, read. Hemangiomas are separated histologically into three types as capillary, cavernous, or mixed. In oral cavity hemangioma can occur at various sites, but they have a strong preference for the occurrence in the tongue and floor of the mouth.
1352 1357 1250 1543 19 214 414 204 538 1447 364 1559 891 47 303 933 591 448 496 1071 907 1420 82 806 1236 1416 1349 982 1554 683 1358 645 942 376 371 1210 461