Kamala K A, Ashok L, Sujatha G P
Department of Oral Medicine and Radiology, Tatyasaheb Kore Dental College and Research Centre, Kolhapur, Maharashtra, India.
Department of Oral Medicine and Radiology, Bapuji Dental College and Hospital, Davanagere, Karnataka, India.
Contemp Clin Dent. 2014 Jan;5(1):95-8. doi: 10.4103/0976-237X.128680.
Hemangiomas are developmental vascular abnormalities and more than 50% of these lesions occur in the head and neck region, with the lips, tongue, buccal mucosa, and palate most commonly involved. They are considered as hamartomas rather than true neoplasms. Here we report a case of hemangioma of the body of the tongue, discussing the diagnostic aspects and treatment modalities of such lesion and emphasizing the role of the color Doppler ultrasonography, especially in the diagnosis and treatment. Factors such as patient's age, size and site of lesion and the proximity of lesion to vital structure are paramount in the determination of the therapeutic approach and surgical excision. Even though radiotherapy, cryotherapy, laser therapy, medical treatment, injection of sclerosing substances and the selective embolization of the lingual artery seem to have some efficacy, the author conclude that surgery is the therapy of choice in the isolated vascular lesions of the body of the tongue.
血管瘤是一种发育性血管异常，其中超过50%的病变发生在头颈部区域，最常累及嘴唇、舌头、颊黏膜和腭部。它们被认为是错构瘤而非真正的肿瘤。在此，我们报告一例舌体血管瘤病例，讨论此类病变的诊断方面和治疗方式，并强调彩色多普勒超声检查的作用，尤其是在诊断和治疗中的作用。患者的年龄、病变的大小和部位以及病变与重要结构的接近程度等因素在确定治疗方法和手术切除时至关重要。尽管放射治疗、冷冻治疗、激光治疗、药物治疗、注射硬化剂以及舌动脉的选择性栓塞似乎有一定疗效，但作者得出结论，手术是舌体孤立性血管病变的首选治疗方法。
