CAVERNOUS LYMPHANGIOMA OF THE TONGUE IN AN ADULT: A CASE REPORT

Abstract

Lymphangioma is a benign hamartomatous lesion caused by congenital malformation of the lymphatic system. This benign tumor is detected most commonly at birth or in early childhood but rarely in adults. On clinical examination, most lymphangiomas contain clear lymph fluid, but some may present as transparent vesicles containing red blood cells due to hemorrhage. In addition, lymphangioma may occur in association with hemangioma. This tumor occurs most commonly in the head and neck area, but rarely in the oral cavity. The dorsum of the tongue is the most common location in the mouth, followed by the lips, buccal mucosa, soft palate, and floor of the mouth. There are various treatment approaches for lymphangioma, but surgical excision is the preferred method. We present a case of a 26-year-old man with lymphangioma on the anterior dorsal part of the tongue, not associated with any dysfunction in mastication or speech disorders.

Keywords

• lymphangioma,oral cavity; oral; tongue; surgery

References

1. Usha V, Sıvasankari T, Jeelani S, Asokan GS, Parthiban J. Lymphangioma of the tongue - a case report and review of the literature. J Clin Diagn Res 2014;8(9):ZD12-ZD14.
2. Bhayya H, Pavani D, Avinash Tejasvi ML, Geetha P. Oral lymphangioma: A rare case report. Contemp Clin Dent 2015;6(4):584-587.
3. Ikeda H, Fujita S, Nonaka M, Uehara M, Tobita T, Inokuchi T. Cystic lymphangioma arising in the tip of the tongue in an adult. Int J Oral Maxillofac Surg 2006;35(3):274-276.
4. Kayhan KB, Keskin Y, Kesimli MC, Ulusan M, Unur M. Lymphangioma of the tongue: Report of four cases with dental aspects. Kulak Burun Bogaz Ihtis Derg 2014;24(3):172-176.
5. Pinto A. Pediatric soft tissue lesions. Dent Clin North Am 2005;49(1):241-258.
6. İlknur T, Akarsu S, Bıçak MÜ, Özer E, Fetil E. A case of lymphangioma treated with pulsed dye laser. Türkderm 2012;46(2):107-109.
7. Supriya MK, Samapika R, Yashwant I, Desai RS. Lymphangioma of tongue: A rare entity. Indian Journal of Dental Advancements 2011;3(3):635-637.
8. Patel NJ, Sciubba J. Oral lesions in young children. Pediatr Clin North Am 2003;50(2):469-486.

9. Sunil S, Gopakumar D, Sreenivasan BS. Oral lymphangioma - case reports and review of literature. Contemp Clin Dent 2012;3(1):116-118.
10. Stanescu L, Georgescu EF, Simionescu C, Georgescu I. Lymphangioma of the oral cavity. Rom J Morphol Embryol 2006;47(4):373-377.
11. de Serres LM, Sie KC, Richardson MA. Lymphatic malformations of the head and neck. A proposal for staging. Arch Otolaryngol Head Neck Surg 1995;121(5):577-582.
12. Brennan TD, Miller AS, Chen SY. Lymphangiomas of the oral cavity: A clinicopathologic, immunohistochemical, and electron-microscopic study. J Oral Maxillofac Surg 1997;55(9):932-935.
13. Goswami M, Singh S, Gokkulakrishnan S, Singh A. Lymphangioma of the tongue. Natl J Maxillofac Surg 2011;2(1):86-88.
14. Uguru C, Edafioghor F, Uguru N. Lymphangioma of the tongue with macroglossia: A case report. Niger J Med 2011;20(1):166-168.
15. Mosca RC, Pereira GA, Mantesso A. Cystic hygroma: Characterization by computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(5):e65-69.
16. Hartl DM, Roger G, Denoyelle F, Nicollas R, Triglia JM, Garabedian EN. Extensive lymphangioma presenting with upper airway obstruction. Arch Otolaryngol Head Neck Surg 2000;126(11):1378-1382.
17. Alqahtani A, Nguyen LT, Flageole H, Shaw K, Laberge JM. 25 years' experience with lymphangiomas in children. J Pediatr Surg 1999;34(7):1164-1168.
18. Greinwald JH, Jr., Burke DK, Sato Y, Poust RI, Kimura K, Bauman NM, Smith RJ. Treatment of lymphangiomas in children: An update of picibanil (ok-432) sclerotherapy. Otolaryngol Head Neck Surg 1999;121(4):381-387.
19. Orvidas LJ, Kasperbauer JL. Pediatric lymphangiomas of the head and neck. Ann Otol Rhinol Laryngol 2000;109(4):411-421.