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Giant haemangioma on base of tongue: A rare presentation
*For correspondence: drparags@gmail.com
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This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher.
A 24 yr old male† presented to the department of Plastic and Reconstructive Surgery, Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospital, Pune, India, in October 2016, with a solitary, progressive swelling over the tongue for the last 4–5 yr with difficulty in speech. Intraoral examination revealed a large solitary well-defined, firm-to-cystic globular swelling measuring approximately 7 × 7 × 5 cm at the base of the tongue (Fig. 1). Magnetic resonance imaging was inconclusive. The encapsulated mass was removed surgically via intraoral access only, thus avoiding morbid mandibulotomy. Histopathologically, it turned out to be cavernous haemangioma (Figs 2 and 3). The patient was followed up over a period of two years with no recurrence and morbidity (Fig. 4). Haemangiomas are benign tumours of infancy and childhood. Base of the tongue is a rare site requiring special consideration in terms of functional problem. These are rarely grown to this large size and uncapsulated.
- Solitary, well-defined, firm-to-cystic globular swelling arising from base of the tongue.
- Cut-surface showing greyish-white glistening areas along with areas of haemorrhage and necrosis.
- Section from the tongue mass revealing sub-capsular area of large cavernous spaces containing altered blood, suggestive of cavernous haemangioma of the tongue (H and E, ×10).
- At two years of follow up.
Conflicts of Interest: None.
