A purple swelling on the tongue

Prashanth Panta

PAMJ. 2015; 21:234. Published 31 Jul 2015 | doi:10.11604/pamj.2015.21.234.7497

A painless, purple, dome shaped swelling was discovered on routine oral examination in a 20 year old male, near the right lateral border of the tongue. He revealed that the swelling had been growing in a subtle manner since 2 months, and he reported no history of trauma. It measured about 1.5x1.5 cm, surface appeared granular and was soft in consistency. Diascopic examination using a glass slide resulted in blanching, a feature characteristic of vascular and inflammatory lesions. Based on the clinical features a differential diagnosis of pyogenic granuloma, hemangioma, angiosarcoma and kaposi’s sarcoma were considered. Later the lesion was excised in its entirety and histopathological examination suggested a diagnosis of ‘cavernous hemangioma'. The healing was uneventful and no recurrence was noted during a 12 month follow up period. Hemangiomas are benign hamartomatous lesions that are slow growing, sessile or pedunculated, smooth or lobulated, red swellings which sometimes exhibit a bluish hue. Hemangiomas of the tongue need special attention due to their susceptability to trauma from masticatory forces.
Corresponding author
Prashanth Panta, Department of Oral Medicine and Radiology, MNR Dental College and Hospital, Sangareddy, Andhra Pradesh, India (maithreya.prashanth@gmail.com)

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