Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-24T07:43:43.203Z Has data issue: false hasContentIssue false

Lymphangioma circumscriptum of the tongue: successful treatment using intralesional bleomycin

Published online by Cambridge University Press:  23 June 2009

P Kataria*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi, India
J C Passey
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi, India
A K Agarwal
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi, India
*
Address for correspondence: Dr Pooja Kataria, Department of Otorhinolaryngology and Head And Neck Surgery, Maulana Azad Medical College and Associated Hospitals, Bahadur Shah Zafar Marg, New Delhi 110002, India. Fax: 91 11 23967023 E-mail: [email protected]

Abstract

Objective:

We report a case of lymphangioma circumscriptum of the tongue, a very rare site of occurrence, which was successfully managed with intralesional bleomycin therapy.

Method:

We present a case report and review of available literature regarding lymphangioma circumscriptum of the tongue and the role of bleomycin therapy.

Results:

The patient was a 19-year-old man with a long-standing lesion involving the tongue, who presented with spontaneous, episodic bleeding over the previous few months. A diagnosis of lymphangioma circumscriptum was established on biopsy. Intralesional bleomycin injection resulted in successful resolution, and the patient remained asymptomatic over more than one year's follow up.

Conclusion:

Lymphangioma circumscriptum is usually seen in the extremities and genitals. This case had a very rare site of occurrence, the tongue, and was successfully managed with conservative treatment, using intralesional bleomycin alone.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Mortimer, PS. Disorders of lymphatic vessels. In: Burns, T, Breathnach, S, Cox, N, Griffiths, C, eds. Rook's Textbook of Dermatology, 7th edn.London: Blackwell, 2004;51.151.27Google Scholar
2Bansal, A, Sethuraman, G. Lymphangioma circumscriptum of the tongue. Indian Pediatr 2006;43:650–1Google ScholarPubMed
3Pauwels, KM, Koedam, MI. Lymphangioma circumscriptum of the tongue [in Dutch]. Ned Tijdschr Geneeskd 1998;142:2708Google ScholarPubMed
4Brandrup, F. Lymphangioma circumscriptum of the tongue. Dermatologica 1976;153:191–5CrossRefGoogle ScholarPubMed
5Balakrishnan, A, Bailey, CM. Lymphangioma of the tongue, a review of pathogenesis, treatment and use of surface laser photocoagulation. J Laryngol Otol 1991;105:924–30CrossRefGoogle Scholar
6Calonje, E, Jones, EW. Vascular tumors: tumors and tumor-like conditions of blood vessels and lymphatics. In: Elder, DE, Elenitsas, R, Johnson, BL, Murphy, GF, eds. Lever's Histopathology of the Skin, 9th edn.Philadelphia: Lippincott Williams & Wilkins, 2005;10151059Google Scholar
7O'Cathail, S, Rostom, AY, Johnson, MC. Successful control of lymphangioma circumscriptum by superficial X-rays. Br J Dermatol 1985;113:611–15CrossRefGoogle ScholarPubMed
8Qin, ZP, Xin, ZF, Ren, L, Liu, XJ, Yao, SG. Long-term results of intratumorous bleomycin-A5 injection for head and neck lymphangioma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:139–44CrossRefGoogle Scholar
9Feins, NR. Lymphatic disorders. In: O'Neill, JA, Rowe, MI, Grosfeld, JL, Fonklasrud, EW, Coran, AG, eds. Pediatric Surgery, 5th edn.St Louis: Mosby, 1998;19731981Google Scholar
10Sanlialp, I, Karnak, I, Tanyel, FC, Senocak, ME, Buyukpamukcu, N. Sclerotherapy for lymphangioma in children. Int J Pediatr Otorhinolaryngol 2003;67:795800CrossRefGoogle ScholarPubMed
11Stringel, G. Hemangiomas and lymphangiomas. In: Ashcraft, KW, ed. Pediatric Surgery, 3rd edn.Philadelphia: WB Saunders, 2000;965–86Google Scholar
12Dorr, RT, von Hoff, DD. Drug monographs, bleomycin sulfate. In: Dorr, RT, von Hoff, DD, eds. Cancer Chemotherapy Handbook, 2nd edn.Norwalk, Connecticut: Appleton & Lange, 1994;227–35Google Scholar