Article

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: 0.72). 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.

0 Followers
 · 
256 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: To describe the removal of lymphatic malformations of the tongue using bipolar radiofrequency plasma ablation. We report a retrospective case series at a tertiary care academic children's hospital. Three children with lymphatic malformations of the tongue causing symptomatic pain, bleeding and difficulty eating were treated with bipolar radiofrequency plasma ablation (Coblation). Two children had previously undergone wide local excision, both of whom experienced rapid multifocal recurrences. Using the bipolar radiofrequency plasma ablation wand, each lymphatic malformation was ablated to the submucosal surface of the tongue. In all three children, healing occurred by secondary intention. All three children were able to resume a regular diet and were discharged from the hospital by post-operative day 1. After a minimum 6 months follow-up, none of the lesions have recurred and none have required additional treatment. One child has a palpable scar in the central portion of the tongue, where the previous wide local excision had been closed with sutures. She remains asymptomatic without complaints. There were no complications in any child. Bipolar radiofrequency plasma ablation (Coblation) may provide a safe, simple and effective technique for removal of lymphatic malformations of the tongue in children.
    International Journal of Pediatric Otorhinolaryngology 02/2009; 73(2):289-93. DOI:10.1016/j.ijporl.2008.10.022 · 1.32 Impact Factor
  • Source
    Indian journal of dermatology, venereology and leprology 09/2010; 76(5):593. DOI:10.4103/0378-6323.69100 · 1.33 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Malformations of vascular nature originate as anomalies caused due to errors in vasculogenesis. These tumors are generally broadly classified into vascular tumors (hemangiomas) and vascular malformations (venous malformations, arteriovenous malformations, lymphatic malformations). These descriptive tumors and malformations have been categorized based on the architectural assembly of vessels. Lymphangiomas are further subclassified microscopically into capillary, cavernous, cystic and lymphangioendothelioma, depending upon their histopathological features. Lymphatic malformations or lymphangiomas are uncommon congenital malformations of the lymphatic system, usually occurring in the head and neck region, characterized by collections of ectatic lymph vessels that form endothelial lined cystic spaces. Advancements in the knowledge of pathogenesis of such vascular malformations are continuously changing their treatment protocols. Early recognition is of utmost importance for initiation of proper treatment and avoiding serious complications. Hemangiolymphangioma is a variant of lymphangioma showing vascular component. Herewith, we present a case of vascular malformation diagnosed as hemangiolymphangioma histopathologically in a 9-year-old girl, along with a review of literature regarding its categorization.
    10/2010; 1(4):259-62. DOI:10.4103/0976-237X.76397
Show more