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Lymphangioma circumscriptum of the tongue: successful treatment using intralesional bleomycin
P Kataria1, J C Passey, A K Agarwal
1Department of Otorhinolaryngology and Head and Neck Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi, India. drpooja_kataria@yahoo.com
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.
