Stănescu Ligia, Georgescu E F, Simionescu Cristiana, Georgescu Iuliana
Department of Pediatry, Filantropia University Hospital of Craiova, University of Medicine and Pharmacy of Craiova, Romania.
Rom J Morphol Embryol. 2006;47(4):373-7.
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.
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.
淋巴管瘤是淋巴系统罕见的先天性错构瘤,通常在婴儿期和儿童早期被诊断出来。它们通常位于头颈部,很少位于口腔。口腔受累的首选部位是舌头。在没有适当治疗的情况下,舌部淋巴管瘤极易复发,会导致严重并发症,如出血或上呼吸道阻塞。作者介绍了一名11岁男孩的病例,其舌头上有假性水疱以及光滑、有光泽的病变,且在舌根部有一个红色突出的搏动性舌下肿块。宏观结构和组织学特征均支持淋巴管瘤的诊断。CT检查确定这是一个深部淋巴管瘤,与浅表平面有狭窄的连通。
尽管淋巴管瘤在口腔中很少见,但临床医生仍需考虑到这种可能性。早期识别对于开始适当治疗以及避免严重并发症至关重要。