Pdf cavernous hemangioma of the tongue researchgate. Hemangiomas are separated histologically into three types as capillary, cavernous, or mixed. A rare case report ka kamala 1, l ashok 2, gp sujatha 2 1 department of oral medicine and radiology, tatyasaheb kore dental college and research centre, kolhapur, maharashtra, india 2 department of oral medicine and radiology, bapuji dental college and hospital, davanagere, karnataka, india. Hemangiomas are developmental vascular abnormalities and more than 50% of these lesions occur in the head and neck region, with the lips. Among vascular anomalies, hemangioma is the most common. A hemangioma is a common and benign neoplasm of the head and neck that relatively rarely lasts beyond 9 years of age. Mixed hemangioma and cystic lymphangioma of the esophagus in. In the oral and perioral region it can cause esthetic and functional impairment, depending on location. A hemangioma can occur anywhere on the body, but most commonly appears on the face, scalp, chest or back.
Clinicians come across haemangiomas of different subtypes at. Treatment is primarily dependent on correct diagnosis of the lesion and on its anatomic location. Treatment for a tongue hemangioma doctor answers on. It is also known as portwine stain, strawberry hemangioma, and salmon patch.
A provisional diagnosis of hemangioma of tongue was given based on the clinical findings. Occurrence of the hemangioma within the jawbones is. It has a characteristic redclod or lobular pattern on dermatoscopy called lacunar pattern using conventional pattern analysis. Although sclerotherapy is a simple technique that is apparently free from. It is known as a proliferative haemangioma because it is due to proliferating endothelial cells the cells that line blood vessels. Most cases of liver hemangiomas are discovered during a test or procedure for some other condition. Oral hemangiomas are most common in the regions of the lips, tongue and buccal. Color atlas of pediatric dermatology samuel weinberg, neil s. Discussion the case just presented involved a large hemangioma of the tongue in a 9 yearold negro girl. 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. Cherry angioma is usually diagnosed clinically and no investigations are necessary for the majority of lesions. The most common sites are head, neck, and viscera such as the liver, spleen, or pancreas.
Hemangiomas are developmental vascular abnormalities and more than 50% of these lesions occur in the head and neck region, with the lips, tongue, buccal mucosa, and palate most commonly involved. It is intended to provide a clearer understanding of the condition for patients, parents and others. Cavernous hemangiomas consist of deep, irregular, dermal. Infantile proliferative hemangiomas usually develop shortly after birth. But if it does not,then corticosteroid injections and surgical removal by scalpel or laser are done by a dermatologist. 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.
Suggest treatment for hemangioma on tongue doctors. Tongue hemangioma is a benign vascular tumor that causes bleeding, difficulty in breathing, pain, difficulty in chewing and speaking. Pdf on aug 22, 2018, chaithra kalkur and others published. The tumor was involving almost the whole of anterior two thirds of tongue, bilaterally with extension into the base of tongue. Vascular lesions can be classified as infantile hemangiomas o. The term cavernous hemangioma has traditionally been applied when lesional vascular channels are considerably enlarged. Although vascular malformations of the tongue comprise a significant portion of head and neck angiodysplastic lesions, hemangioma of base of tongue is rare. Reddishblue lesion of the tongue jawanda mk, narula r, sharma. A deep hemangioma or cavernous hemangioma is a protrusion with an overlying telangectasia.
A liver hemangioma is made up of a tangle of blood vessels. Current management of hemangiomas and vascular malformations jennifer j. Hemangioma, the most common tumor of infancy, affects as many as 12% of whites, but it rarely occurs in darkerskinned individuals. The purpose of this article is to report a case of arteriovenous.
A 6month followup examination revealed a very satisfactory result with no recurrence. Kutluhan used plasma knife surgery for excision of hemangioma of tongue. Hemangiomas have been found in many of the structures of interest to the otolaryngologist, 1 including the external and middle ear, 2 the nasal bones 3,4 and septum, 5 the tonsils, 6 the maxillary sinus, 7 the soft palate, 8 the larynx, 9 the tongue, 10 and other parts of the face and the oral cavity. A benign tumor formed by a collection of excess blood vessels. Treatment of cavernous hemangioma of the tongue by continuous intraarterial infusion of 5fluorouracil w. A hemangioma is a noncancerous tumor made up of blood vessels. 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. Hemangioma definition of hemangioma by medical dictionary. An infantile hemangioma hemangeeoma, or strawberry mark, is a very common type of birthmark made of blood vessels. It is usually inside the lower lip or under the tongue and caused mainly by biting the lips or trauma. Mulliken, mdb adivision of plastic surgery, department of surgery, cincinnati childrens medical center, ml2020, 3333 burnet avenue, cincinnati, oh 45229, usa bdivision of plastic surgery, department of surgery, childrens hospital and harvard medical school, hunnewell 178. Mri of the head and neck shows a lobulated mass involving the anterior part of the oral tongue.
They often develop on the face and neck, and can vary greatly in color, shape, and size. The lesion was localised on the right side of the tongue in the middle part. Hemangiomas in the oral cavity are always of clinical importance and require appropriate treatment. Laparoscopic excision of a lymphangioma of the cystic duct. Case hemangioma of base of tongue university of toronto tspace. Other terms for a liver hemangioma are hepatic hemangioma and cavernous hemangioma. Feb 18, 2015 the presence of vascularity in hemangioma differentiates it from the above condition. The diagnosis of hemangioma was based on a high index of clinical suspicion aided by an aspiration cytology and computerized tomography with contrast. We report a case of hemangioma of base of tongue extending to the supraglottis, which necessitated an extended supraglottic laryngectomy. A large hemangioma of the tongue was initially treated with superselective embolization using polyvinyl alcohol foam ivalon and absorbable gelatin sponge gelfoam particulates. Anomalies international society for the study of vascular anomalies pdf. Infantile hemangiomas what is an infantile hemangioma.
Hemangioma of base of tongue indian journal of cancer free. Vascular malformations also more commonly occur in whites. The purpose of this article is to provide a description of a case of a hemangioma on the upper lip, treated by therapeutic sclerosis with monoethanolamine oleate ethamolin, covering clinical characteristics and methods for diagnosing these lesions. Hemangiomas show a notorious higher prevalence in females. Special regional hemangiomas of the brain, tongue, gastrointestinal tract, liver, skeletal muscle and bone. We report our experience treating venous malformations of the tongue by percutaneous injection using ethanol. The name pyogenic granuloma is misleading as it is neither pyogenic or a true granuloma. Oral hemangioma is a common entity and represents 14% of all hemangiomas 1. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. A case report of a tongue ulcer as a rare presentation of oral hemangioma.
A case report of a tongue ulcer as a rare presentation of. This young man had a large hemangioma of tongue which caused him extreme difficulties in eating, chewing, swallowing, speech and. Mumbai, india 2 cumballa hill hospital, mumbai, india 3 department of pathology, tata memorial hospital. Treatment of cavernous hemangioma of the tongue by continuous. In this article, we report the case of a patient diagnosed in a hemangioma with unspecific radiological features and a very infrequent location. In actuality, it is a capillary hemangioma of lobular subtype, which is why such a lesion is prone to bleeding. Clinicians come across haemangiomas of different subtypes at different locations in the body. 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. Hemangiomas are tumors identified by rapid endothelial cell proliferation in early infancy, followed by involution over time. We present a 76yearold patient with a congenitally mixed capillarycavernous hemangioma of the tongue, which rapidly enlarged after an unrelated surgical procedure under spinal anesthesia. The hemangioma is a benign proliferation of endothelial cells common in the head, neck and relatively rare in the oral cavity. In the oral region, the most common location is the lip. The occurrence of hemangiomas on the tongue is extremely rare. Aug 31, 20 hemangiomas in the oral cavity are always of clinical importance and require appropriate treatment.
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. It was first reported in 1841 as bluish excrescence and erectile tissue 2. Hemangiomas of the tongue and the oral cavity in a myotonic. Hemangiomas definition of hemangiomas by the free dictionary. When they do appear, they may first show up as a small bruise, scratch or tiny red bump. When there is uncertainty about the diagnosis, a biopsy may be performed. It usually appears during the first few postnatal weeks and disappears by the age of 9 years. Percutaneous ethanol sclerotherapy of venous malformations has been reported to be efficacious for venous malformations of the head and neck region 26. Cavernous hemangioma of the lip jama otolaryngologyhead. His parents also complained of difficulty in speech. Infantile haemangioma american spelling hemangioma describes a benign noncancerous condition affecting cutaneous blood vessels. A hemangioma or haemangioma is a usually benign vascular tumor derived from blood vessel. It is usually present on the gingiva, buccal mucosa, or labial mucosa.
A giant hemangioma of the tongue 56 iranian journal of otorhinolaryngology vol. At the last follow up, 9 months after surgery, the tongue had a better fitting into the oral cavity and the patient referred improved swallowing function and speech. A marked reduction in vascularity with deflation of the lesion occurred. Hemangioma is a benign tumor of dilated blood vessels. The significance of a mandibular hemangioma lies in the proximity of the teeth representing a high risk of bleeding due to any traumatism or extraction attempt. Most hemangiomas that occur at birth disappear after a few months or years. Color doppler ultrasound revealed hypoechoic lesions with intermittent color picking.
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. Hemangioma of base of tongue qureshi ss, chaukar da. 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 finally confirmed as cavernous hemangioma on histological evaluation. The presence of vascularity in hemangioma differentiates it from the above condition. Clinical features compressibility test, continue pressure will push blood out of the lesion. Changes in blood flow dynamics within hemangioma result in thrombus and. The oral feeding started after 6 days, the tracheostomy was removed 2 days later and the patient discharged. In our case, no similar lesion was found in other body systems and the tongue was the only site for the hemangioma. Mar 01, 2004 hemangioma is a common benign vascular neoplasm that closely resembles normal vessels and can be found in all organs of the human body. Surgical or invasive treatment of oral hemangiomas has evolved.
Small foci of hypointense t2 signal are seen, compatible with flow voids. Most congenital hemangioma regresses spontaneously without treatment. 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. It also has to be differentiated from a hemangioma then.
Vascular anomalies include a wide range of tumors and malformations. Mar 21, 2018 hemangiomas are tumors identified by rapid endothelial cell proliferation in early infancy, followed by involution over time. The head and neck region is more commonly affected especially the face, oral mucosa, lips, tongue and trunk. There are many types of hemangiomas, and most occur on the surface of the skin or just beneath it. Hemangioma is a benign proliferation of blood vessels. Nov 30, 2018 to date, no data are reported on the presence of multiple hemangiomas of the tongue and the oral cavity in dm1. Increase your knowledge on how to riskstratify infantile hemangiomas, understand the natural history of hemangiomas and how this affects referral and management, and increase your awareness of options for. Papillary eruptions were present on the anterior two thirds of the tongue associated with burning sensation which was aggravated on consumption of spicy and hot beverages. Late complication of congenital hemangioma of the tongue. Hemangiomas can be encountered intraorally on lips, tongue, anterior gingival, and buccal mucosa. Hem is the most common benign tumor of the blood vessels in infants and children. A hemangioma may be visible through the skin as a birthmark, known colloquially as a strawberry mark. Hemangiomas are benign tumours of infancy and childhood, most commonly located in the head and neck region and occur more frequently in.
It is most commonly seen in the head and neck region and rarely in the oral cavity. Sturgeweber syndrome complicating with ipsilateral hemangioma liked nasal polyps liu yiwei, sun ke and tang jianguo department of otolaryngologyhead and neck surgery, sir run run shaw hospital, medical college of zhejiang university, china received. The purpose of this article is to report a case of arteriovenous malformation on the buccal mucosa and highlight the difference between oral hemangioma and vascular malformation as well as its diagnostic dilemma. The pathologic diagnosis was cavernous hemaiigioma pigs.
Oral hemangioma is common in the ventral surface of the tongue, followed by the lower lip and buccal mucosa. Uvula in this patient was found to be in contact with the posterior portion of the tongue. Management of the oral hemangiomas in infants and children. A hemangioma or haemangioma is a usually benign vascular tumor derived from blood vessel cell types. Hemangiomas are benign vascular proliferations consisting of numerous capillary structures and are especially common on the tongue, lips, jugal mucous membrane, and gums. Herein, we report on a 63yearold woman affected by dm1, presenting with tongue hemangiomas, with no further benign or malignant associated tumors.
It may occur on lips, tongue, buccal mucosa, and palate. The definitive histopathologic diagnosis was cavernous hemangioma. If associated with tongue it may cause loss of mobility. Pdf hemangioma is a benign tumor of dilated blood vessels.
A provisional diagnosis of hemangioma and a differential diagnosis of arteriovenous malformation were given in the first case. Download here free healthcaremagic app to ask a doctor. All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. Here, we report a case of hemangioma in the posterior third of the tongue in a 10yearold female, which appeared localized well defined, reddish pink and lobulated mass with welldefined margins on intraoral examination. Although an atypical location, the findings are characteristic of hemangioma. Increase your knowledge on how to riskstratify infantile hemangiomas, understand the natural history of hemangiomas and how this affects referral and management, and increase your awareness of options for infantile hemangiomas requiring treatment. It is also not truly pyogenic pusproducing, as the cause is hormonal or traumatic and has no association with infection or pus production. Hemangiomas are seen most commonly on cheeks, upper lip and. Most of the haemangiomas are asymptomatic and can be treated conservatively. Intramuscular haemangioma of the tongue d babu, r bhamre, r katna, p pai tata memorial hospital, mumbai, india abstract haemangiomas are one of the most common benign tumours. Lobular capillary hemangioma pyogenic granuloma is a reactive proliferation of blood vessels that occurs in adults and during pregnancy. Case hemangioma of base of tongue university of toronto. These can occur in the skin or the internal organs and are usually present at birth, although they also can show themselves a few months later. The enlargement resulted in a significant functional and cosmetic deformity that was corrected by surgical excision.
Diagnosis and management of oral vasoformative tumors and oral hemangiomas span a wide range of options. The most common form is infantile hemangioma, known colloquially as a strawberry mark, most commonly seen on the skin at birth or in the first weeks of life. Treatment of cavernous hemangioma of the tongue by. Sturgeweber syndrome complicating with ipsilateral. Intramuscular hemangiomas in the oral region are most commonly seen in the masseter, compromising 5% of all intramuscular hemangiomas. This lesion is found oc casionally in the mouth along with lymphangiomas ac. They are characterized by hyperplasia of blood vessels, usually veins and capillaries, in a focal area of submucosal connective tissue. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. Treatment of oral vasoformative tumors can be divided into 2 broad categories. It is usually presents at birth but can occur rarely in adults due to frequent trauma to the blood vessels of mucosa. Hemangiomas are classified as capillary and cavernous on the basis of the vascularization system. The case presented with intraoral submucosal hemangioma of the cheek was treated by intralesional injection of aethoxysklerol 3% diluted in water. Treatment of a lingual hemangioma by superselective. The past medical history provided by the family revealed a hemangioma measuring 3x3x1 mm in size beneath the tongue, for which she had undergone atrial and ventricular septal defect repair when she was 17 days old, three hemangiomas measuring 3x3x1 in size on the sternum anteriorly when she was 6 months old, and one hemangioma inferior to the.
Tongue hemangioma is a rare benign vascular tumor that. The use of surgical diode laser in oral hemangioma. Compound hemangiomas or capillary cavernous hemangioma compraises of both deep and superficial components 3. A hemangioma, also called a strawberry nevus, is an abnormal buildup of blood vessels from an unknown cause. Percutaneous ethanol sclerotherapy of venous malformations of. Congenital neurocutaneous syndromes associated with. Complications bleeding especially if the hemangioma is injured. This article discusses a patient who presented with intractable cough due to cavernous hemangioma involving uvula. The malformations have a normal endothelial cell growth cycle that affects the veins, the capillaries, or the lymphat. The past medical history provided by the family revealed a hemangioma measuring 3x3x1 mm in size beneath the tongue. Aug 14, 2019 a liver hemangioma hemanjeeomuh is a noncancerous benign mass in the liver.
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