Dutta M, Ghatak S, Biswas G, Sinha R
Department of Otorhinolaryngology and Head Neck Surgery, R G Kar Medical College and Hospital, Kolkata, West Bengal, India.
J Laryngol Otol. 2011 Oct;125(10):1083-6. doi: 10.1017/S0022215111001277. Epub 2011 Jun 21.
We present an extremely rare case of isolated angiokeratoma of the tongue.
Case report and review of related literature.
An 18-year-old, male adolescent presented with a fleshy, intermittently bleeding mass in the posterior third and base of the tongue. The lesion was initially suspected to be a lingual thyroid or haemangioma, but histopathological features were consistent with angiokeratoma. Magnetic resonance imaging revealed that the lesion extended up to the vallecula and involved the lamina propria and superficial tongue musculature. No similar lesions were found elsewhere in the body. No metabolic derangements were identified in the patient or his family. The 2.6 × 1.5 × 0.5 cm mass was excised under general anaesthesia.
We present the 1st case of isolated lingual angiokeratoma in a male, the 4th such case overally, the largest ever documented. The lesion was situated in the posterior third and base of the tongue, a position not previously described.
我们报告一例极其罕见的孤立性舌部血管角化瘤病例。
病例报告及相关文献回顾。
一名18岁男性青少年，舌后三分之一及舌根部出现一个肉质、间歇性出血的肿物。该病变最初怀疑为舌甲状腺或血管瘤，但组织病理学特征符合血管角化瘤。磁共振成像显示病变向上延伸至会厌谷，累及固有层和舌浅层肌肉组织。身体其他部位未发现类似病变。患者及其家族未发现代谢紊乱。在全身麻醉下切除了这个2.6×1.5×0.5厘米的肿物。
我们报告了首例男性孤立性舌部血管角化瘤病例，总体上是第四例，也是有记录以来最大的一例。病变位于舌后三分之一及舌根部，这一位置此前未见描述。
