Lymphangioma of the oral cavity.

Department of Pediatry, Filantropia University Hospital of Craiova, University of Medicine and Pharmacy of Craiova, Romania.
Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie (Impact Factor: 0.62). 02/2006; 47(4):373-7.
Source: PubMed

ABSTRACT Lymphangiomas are uncommon congenital hamartomas of the lymphatic system, usually diagnosed in infancy and early childhood. Commonly located at head and neck, they are rarely situated in the oral cavity. Preferred site of oral involvement is the tongue. In the absence of proper therapy, lymphangiomas of the tongue are extremely recurrent, leading to serious complications such as hemorrhage or obstruction of the upper respiratory airways. The authors present the case of eleven years old boy with pseudo-vesicles, and smooth, glossy lesions on the tongue, and a red prominent pulsative sublingual mass located at the base of the tongue. Both the macroscopic structure and the histological aspect sustain the diagnosis of lymphangioma. CT established that is a profound lymphangioma with a narrow communication with the superficial planes. CONCLUSIONS: Though rarely met in the oral cavity, lymphangiomas are an eventuality to take into consideration by the clinician. Early recognition is of utmost importance to initiation of proper treatment, and avoiding serious complication.

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    ABSTRACT: Lymphangioma is a benign hamartomatous tumor of lymphatic vessels. This lymphatic malformation is characterized by an abnormal proliferation of lymphatic vessels. Extra-oral lymphangiomas occur more frequently in the neck region predominantly in the posterior triangle, while intra-oral lymphangiomas are commonly seen in the tongue mainly on the dorsum surface. Various imaging modalities such as ultrasound and color Doppler are very useful in viewing the extent of the lesion. In most of the cases, surgical excision is the treatment of choice. The prognosis is good for most patients, but recurrence has also been reported in some cases, presumably because the lesion is interwoven between muscle fibers, preventing complete removal. This case report discusses the clinical features, color Doppler imaging, histopathology, and treatment of lymphangioma.
    Journal of clinical imaging science. 01/2013; 3:44.
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    ABSTRACT: Lymphangioma is a benign, hamartomatous tumor of lymphatic vessels with a marked predilection for the head, neck and oral cavity. They are believed to arise from lymph sac sequestration and enlarge due to inadequate drainage, from lack of communication with the central lymphatic channels or excessive secretion of lining cells. Lymphangioma is characterized by progressive growth, compression and infiltration of adjacent structures, resulting in an overall clinical picture which depends on location. Imagistic studies, needle aspiration as well as biopsy are important for the confirmation of the diagnosis. Differentiating blood from lymphatic vessels is particularly difficult in certain circumstances even for experienced pathologists and for the same specific lymphatic endothelial markers are used. The treatment of lymphangioma depends upon their type, size, and involvement of anatomical structures. Various treatment modalities were advocated but now days a new agent OK-432 is used which is safe and give promising results.
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    ABSTRACT: Lymphangiomas are rare congenital tumors of the lymphatic system, most often encountered during childhood. Althougth the most frequent locations are head and neck region for lymphangioma, isolated involvement of the nasopharynx is very rare and only two cases have been reported since 1969. We report a 60-years-old male case with a nasopharyngeal mass which presented with nasal obstruction. The surgical excision of mass performed by combined transoral and transnasal endoscopic approach. Histopathological evaluation revealed the diagnosis as lymphangioma. After a follow-up of 18 months the patient is free of recurrence.
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