A hemangioma is an abnormal growth of blood vessels in the skin. These lesions represent the most common growths in infancy and childhood, and may vary from small innocent birthmarks to large disfiguring tumours. No obvious seizure was observed in the limbs, and the seizure was relieved 12 minutes later. It is most commonly seen in the head and neck region and rarely in the oral cavity find, read. Cavernous hemangioma uvula an interesting case report and. I was thrown into the world of hemangiomas just recently. A hemangioma occurs when small blood vessels begin to multiply at an abnormal rate and form a mass or lump.
Hemangioma is a relatively common benign proliferation of blood vessels that primarily develops during childhood. Case hemangioma of base of tongue university of toronto tspace. Pyogenic granuloma is known to show a striking predilection for the gingiva and capillary hemangioma frequently occurs in the lips, cheek, and tongue. The lesion appeared rather superficial, well confined, and without invasion of deeper muscle layers. Hemangioma definition of hemangioma by medical dictionary.
Three areas of doubtful margins were again excised, and all tissue specimens were submitted for microscopic diagnosis. These tumors usually develop within the first few weeks of life but often resolve independently by time a. Although most hemangiomas of the tongue are asymptomatic, they could sometimes cause significant bleeding, pain or difficulty in chewing, speaking, and even swallowing, if they are large enough. The symptoms were presented again 3 hours later, which were manifested as consciousness disorders, no. Abstract intramuscular hemangioma imh represents less than 1% of all hemangiomas. It is usually present on the gingiva, buccal mucosa, or labial mucosa. Volume 25 cavernous hemangioma of tongue 543 xumber 4 fig. Capillary hemangioma of gingiva mimicking as pyogenic. This paper describes a case of a female patient who had a growth on her lateral border of the tongue which was diagnosed as cavernous hemangioma. Mumbai, india 2 cumballa hill hospital, mumbai, india 3 department of pathology, tata memorial.
Case history a 34yearold female patient reported to the department of periodontology, rajarajeswari dental college and hospital, bangalore, india, with the chief complaint of swelling on the. Oral hemangioma is a common entity and represents 14% of all hemangiomas. Cavernous hemangioma of the tongue open access library. Cavernous hemangiomas consist of deep, irregular, dermal bloodfilled. Back to issva classification for vascular anomalies overview causal genes in blue type alt for previous view when associated with overgrowth, some of these lesions belong to the pik3carelated overgrowth spectrum see details some of these lesions may be associated with thrombocytopenia andor consumptive coagulopathy see details. 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. Studies about the prevalence of these lesions in the oral cavity are scarce. Tongue hemangioma is a benign vascular tumor that causes bleeding, difficulty in breathing, pain, difficulty in chewing and speaking. This young man had a large hemangioma of tongue which caused him extreme difficulties in eating, chewing, swallowing, speech and also teeth irregularities. Infantile hemangiomas cincinnati childrens hospital.
Treatment of cavernous hemangioma of the tongue by continuous. Prevalence of oral hemangioma, vascular malformation. Vascular malformations also more commonly occur in whites. In this significant case, the cryosurgery treatment of a 16 years old male patient who was suffering from the huge hemangioma in the right side of his tongue is. Herein, we report three rare cases of imh in the tongue and lip, discuss the. Such as airway hemangioma, cns hemangioma, hepatic hemangioma diffuse, v isceral hemangioma. 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. Hemangioma of base of tongue qureshi ss, chaukar da, pathak. It was first reported in 1841 as bluish excrescence and erectile tissue. Mar 21, 2018 diagnosis and management of oral vasoformative tumors and oral hemangiomas span a wide range of options. A hemangioma or haemangioma is a usually benign vascular tumor derived from blood vessel cell types.
Intramuscular hemangiomas in the oral region are most commonly seen in the masseter, compromising 5% of all intramuscular hemangiomas. These tumors usually develop within the first few weeks of life but often resolve independently by. Combination of pregnancy with epilepsy and cerebral cavernous hemangioma 5706 int j clin exp med 2017. Their similarity to normal vessels is so great that it is not clear that they represent vessel malformations true neoplasms or hamartomatous overgrowths. Prevalence of oral hemangioma, vascular malformation and. Hemangiomas are developmental vascular abnormalities and more than 50% of these lesions occur in the head and neck region, with the lips, tongue, buccal. Postoperative view 10 days after surgical procedure. Discussion the case just presented involved a large hemangioma of the tongue in a 9 yearold negro girl. 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. Lobular capillary hemangioma pyogenic granuloma is a reactive proliferation of blood vessels that occurs in adults and during pregnancy.
Upon examination a painless red lesion was discovered on the tongue. Case hemangioma of base of tongue university of toronto. Treatment of cavernous hemangioma of the tongue by continuous intraarterial infusion of 5fluorouracil w. Superficial hemangiomas do not normally present serious medical complications, though understanding this has required medical research and patient observation. Treville pereira hemangiomas are benign proliferations of vessels that closely resemble normal vessels. 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. There are several treatments out there including surgery, medication, and hemangioma our story read more. The treatment depends upon lesion location, size and evolution stage and the patients age. Treatment of oral vasoformative tumors can be divided into 2 broad categories.
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. Hemangiomas show a notorious higher prevalence in females. Variable morphologic appearances of hemangioma, illustrated in patients af. Pdf hemangioma is a benign tumor of dilated blood vessels. Treatment was started with omnacortil syrup prednisolone sodium 5 ml thrice daily for two weeks and then the dose was tapered for another. Tongue hemangioma is a rare benign vascular tumor that causes bleeding, difficulty in breathing, chewing and speaking and pain. Patient c has associated phaces syndrome with carotid and aortic arch abnormalities.
Oral hemangioma is a common entity and represents 14% of all hemangiomas 1. Congenital hemangioma that requires treatment due to location or associated problems. Vascular abnormalities are relatively uncommon lesions, but head and neck is a common region for vascular malformation which is classified as benign tumors. Most of the haemangiomas are asymptomatic and can be treated conservatively. Hemangiomas of the tongue and the oral cavity in a myotonic. 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.
Benign lesion of the blood vessels or vascular elements is called as hemangioma. Small foci of hypointense t2 signal are seen, compatible with flow voids. The aim of this study was to estimate the prevalence of and to obtain clinical data on oral hemangioma, vascular malformation and varix in a brazilian. It is usually inside the lower lip or under the tongue and caused mainly by biting the lips or trauma. Infantile hemangiomas are grouped as superficial, deep, or combined. In rare cases, it is an isolated, congenital feature. If the lesion is near the skin surface, it is called a superficial hemangioma.
Macroglossia genetic and rare diseases information. 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. Cavernous hemangioma, hemangioma, tongue hemangioma introduction hemangiomas are developmental vascular abnormalities characterized by a proliferative growth phase and by very slow inevitable regression involutive phase, and about 60% to 70% of the lesions are found in the head and neck region. Hemangiomas are seen most commonly on cheeks, upper lip and upper eyelids on head and neck while they are observed in very small. Hemangioma, vascular malformation and varix are benign vascular lesions, common in the head and neck regions. The term hemangioma has been commonly used to describe a large number of vasoformative tumors. The majority of oral and oropharyngeal hemangiomas seem to be of a developmental nature often present at birth or shortly thereafter. Review of literature tarun ahuja, nitin jaggi, amit kalra, kanishka bansal, shiv prasad sharma 10. Hemangiomas are benign tumours of infancy and childhood, most commonly located in the head and neck region and occur more frequently in. Krishna kripal,senthil rajan,beena ropak,ipsita jayanti.
Macroglossia is the abnormal enlargement of the tongue in proportion to other structures in the mouth. It also has to be differentiated from a hemangioma then. This article discusses a patient who presented with intractable cough due to cavernous hemangioma involving uvula. Internal hemangiomas can cause severe problems, such as bleeding, and need to be treated immediately and aggressively. A deep hemangioma is under the skin and a superficial is on the surface of the skin. Uvula in this patient was found to be in contact with the posterior portion of the tongue. 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.
A 6month followup examination revealed a very satisfactory result with no recurrence. Pyogenic granuloma is a common benign lesion often found in oral cavity. All other abnormalities are malformations resulting from anomalous. Hemangioma is a benign tumor of dilated blood vessels. 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.
Oral hemangioma is common in the ventral surface of the tongue, followed by the lower lip and buccal mucosa. Some hemangiomas of the tongue have a lymphangiomatous component, hence the name hemangiolymphangiomas. Mri of the head and neck shows a lobulated mass involving the anterior part of the oral tongue. In this significant case, the cryosurgery treatment of a 16 years old male patient who was suffering from the huge hemangioma in the right side of his tongue is presented. A hemangioma is a noncancerous tumor made up of blood vessels. It was first reported in 1841 as bluish excrescence and erectile tissue 2. Hemangiomas in the oral cavity are always of clinical importance and require appropriate treatment.
If it grows under the skin, it is considered a deep hemangioma. Vascular lesions may be hemangioma, lymphangioma or other lesions. Feb 18, 2015 the presence of vascularity in hemangioma differentiates it from the above condition. Hemangioma is a benign tumor that occurs in the endothelial lining of the blood vessels. 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. It is usually presents at birth but can occur rarely in adults due to frequent trauma to the blood vessels of mucosa. Cavernous hemangioma appears as an elevated lesion of a deep red color, and consists of. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment.
Hemangiomas commonly seen on skin, 80 % of these appear as single lesions, while 20% are bilateral lesions. Advanced diagnostic imaging may be important in evaluation of the malformation and deciding on the best approach to treatment. In this article, we report the case of a patient diagnosed in a hemangioma with unspecific radiological features and a very infrequent location. A giant hemangioma of the tongue babak 1saedi, asghar hajipour2, mihan jafari javid3 abstract introduction. Unfortunately, the nomenclature and the classification of these entities have been complex and not entirely consistent over time. When it has components of both superficial and deep lesions. It is most commonly seen in the head and neck region and rarely in the oral cavity. Capillary hemangioma is benign proliferation of blood vessels that primarily occurs during childhood. They often develop on the face and neck, and can vary greatly in color, shape, and size. Myotonic dystrophy type 1 dm1 is an autosomal dominant disease caused by a cytosine. Case report pregnancy combined with epilepsy and cerebral. Hemangioma is a benign proliferation of blood vessels. The pathologic diagnosis was cavernous hemaiigioma pigs.
There are many types of hemangiomas, and most occur on the surface of the skin or just beneath it. The capillary form presents as a flat area consisting of numerous small capillaries. Current management of hemangiomas and vascular malformations. Although an atypical location, the findings are characteristic of hemangioma. It usually occurs secondary to an underlying disorder that may be present from birth congenital or acquired. The term hemangioma has been commonly misused to describe a large number of vasoformative tumours. It is intended to provide a clearer understanding of the condition for patients, parents and others. A hemangioma can occur anywhere on the body, but most commonly appears on the face, scalp, chest or back. The term cavernous hemangioma has traditionally been applied when lesional vascular channels are considerably enlarged. 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. The treatment depends on lesion location, size and evolution stage, and the patients age. In the majority of cases it appears as a network of small bloodfilled capillaries near the surface of the skin. But if it does not,then corticosteroid injections and surgical removal by scalpel or laser are done by a dermatologist.
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. The complexity and the inconsistency have led to a large number of terms and classification schemes being used, resulting. Hemangioma involving the tongue as well as the mouth. Hemangioma, the most common tumor of infancy, affects as many as 12% of whites, but it rarely occurs in darkerskinned individuals. The presence of vascularity in hemangioma differentiates it from the above condition.
Oral hemangioma and oral varix were more prevalent in the ventral surface of the tongue and oral vascular malformation, in the lips. Lingual hemangiomas are common but in base of tongue bot hemangioma are extremely rare. Occurrence of the hemangioma within the jawbones is. The head and neck region is more commonly affected especially the face, oral mucosa, lips, tongue and trunk. Pdf cavernous hemangioma of the tongue researchgate. Hemangiomas of the tongue are rare lesions which can cause distressing problem to the patients, producing cosmetic deformity, recurrent hemorrhage, and functional problems with speaking, mastication and deglutition. This is done based on the involvement of the skin and other soft tissues. Mar 21, 2018 the term hemangioma has been commonly used to describe a large number of vasoformative tumors.
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