Yalçın BAYRAM, Ugur KARAPINAR, Muzaffer DURMUŞ, Şükrü YILDIRIM

Lingual hemanjioma: Olgu sunumu

Hemanjiomlar çocukluk yaş grubunda en sık görülen baş-boyuntümörlerindendir. Erişkinlerde görülme sıklığı giderek azalır. Baş-boyunbölgesinde daha sık görülmelerine rağmen oral kavitede oldukça nadirdir.Bu çalışmada lingual yerleşimli hemanjioma ait klinik bulgu ve olasıkomplikasyonlar literatür verileri eşliğinde sunulmuştur. Altmış üç yaşındabayan hasta dilde kitle şikayeti nedeniyle polikliniğimize başvurdu. Hastayalokal anestezi altında eksizyonel biopsi uygulandı. Postoperatif evredeherhangi bir ciddi sorunla karşılaşılmadı. Histopatolojik incelemede kapillerkavernöz hemanjioma olarak rapor edildi.Lingual hemanjiomlar hastalarda kozmetik deformite, rekürren hemoraji,konuşma ve çiğneme problemlerine yol açabilirler. Hemanjiomlarıntedavisinde farmakolojik ve cerrahi tedaviyi içine alan birçok tedaviseçeneği tanımlanmıştır. Ayırıcı tanıda Skuamoz hücreli karsinoma, Kaposisarkoma, epulis, telenjiektazi, baziller anjiomatozis gibi benign lezyonlar vepiyojenik granülom düşünülmelidir. Sonuç olarak hemanjiomların tipinegöre gerekli preoperatif hazırlık yapılıp cerrahi eksizyonun unblok olarakyapılmasını önermekteyiz. Ardından deneyimli oral patolog eşliğinde ayırıcıtanısının yapılarak nükse dair bulguların takibi oldukça önem arz eder.

Lingual hemangioma: Case report

Hemangiomas are among the most common head and neck neoplasms encountered in the pediatric age group. They are less common in the adult group. Although they are common in the head and neck region, hemangioma of oral cavity is rare. In this study, we present a lingual hemangioma together with literature data of the clinical findings and possible complications. A 63-year-old female patient was admitted to our clinic with a lingual mass. The patient underwent excisional biopsy under local anesthesia. There was no complication at postoperative follow-up. Histopathological study revealed a capillary cavernous hemangioma. Lingual hemangiomas may pose distressing problems to the patients, producing cosmetic deformity, recurrent hemorrhage and functional problems in speech, deglutition, and mastication. Several pharmacological and surgical treatment options have been identified for the treatment of hemangiomas.Differential diagnosis can include squamous cell carcinoma, Kaposi sarcoma, benign lesion like bacillary angiomatosis, epulis, telangiectasia, and pyogenic granuloma. As a result, we recommend a preoperative preparation according to the type of hemangiomas and en bloc surgical excision. Later on, accompanied by an experienced oral pathologist, the differential diagnosis and follow-up for the recurrence is very important.

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