LINGUAL VASCULAR MALFORMATION: A CASE REPORT OF HEMANGIOMA OF THE TONGUE

Dr. Zain Ul Abideen Patel*, Dr. Almas R. Patel, Dr. Vinod V. C.

ABSTRACT

Aim and Background: Hemangiomas are benign vascular anomalies resulting from abnormal proliferation of blood vessels. Although frequently observed in the head and neck region, their occurrence in the oral cavity, particularly on the tongue, is relatively uncommon. This case report documents the clinical presentation, diagnostic work-up, and successful management of a capillary hemangioma located on the dorsal surface of the tongue. Case Description: A 62-year-old female was presented with slowly enlarging, reddish- blue swelling on the tongue. The provisional diagnosis of capillary hemangioma was made based on clinical and radiological features. Surgical management of the swelling was done. Histopathological examination confirmed the diagnosis. Conclusion: The patient’s postoperative recovery was uneventful, with no recurrence noted at a 6-month follow-up. This case emphasizes the importance of differentiating vascular lesions of the tongue from other reactive or neoplastic growths through careful clinical and radiological evaluation. MRI neck imaging serves as a valuable, non-invasive diagnostic tool. Complete surgical excision remains a safe and effective treatment for well-localized tongue hemangiomas. Clinical Significance: Early diagnosis and appropriate management are essential to prevent complications such as bleeding, interference with speech, mastication, or airway obstruction in larger lesions. This case adds to the existing literature and highlights the relevance of a multidisciplinary approach for optimal outcomes in oral vascular anomalies.

Keywords: Tongue, Oral vascular malformation, MRI neck, Surgical excision, Vascular anomaly.