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Hemangioma (Tongue) - Radiology

last modified on: Sun, 09/01/2024 - 20:33

  • A hemangioma is a benign proliferation of blood vessels (Agarwal et al. 2018)

  • Most common tongue location is on the dorsal surface (Liu et al. 2023)

  • Usually presents at birth but may present in adults with frequent trauma to the area (Agarwal et al. 2018)

  • May be confused with vascular malignancy or melanoma (Agarwal et al. 2018)

  • Conventional treatments include systemic corticosteroids, beta blockers, and sclerosing agents (Balaji et al. 2020)

  • Surgery may be considered when conventional treatments have failed and the lesion is large (Balaji et al. 2020)

  • MRI Imaging

    • "well-demarcated enhancing mass after the intravenous administration of a contrast agent ... solid mass with iso- or slightly hyperintensity to muscle on T1-weighted image and heterogeneous signal intensity on T2-weighted image" (Liu et al. 2023)

References

Agarwal M, Agarwal L, Mathur V. Hemangioma of tongue. AME Case Rep. 2018 Apr 13;2:11. doi: 10.21037/acr.2018.03.04. PMID: 30264007; PMCID: PMC6155592.

Balaji SM, Balaji P. Large hemangioma of the tongue. Indian J Dent Res. 2020 Nov-Dec;31(6):979-982. doi: 10.4103/ijdr.IJDR_950_20. PMID: 33753673.

Liu L, Li Y, Zi Y, Rong D, Li Y, Li X, Xu F, Wu H. MRI findings of benign tumors and tumor-like diseases of the tongue with radiologic-pathologic correlation. Jpn J Radiol. 2023 Jan;41(1):19-26. doi: 10.1007/s11604-022-01329-3. Epub 2022 Sep 13. PMID: 36097236.