<abstract xmlns="http://www.w3.org/1999/xhtml">Background. Haemangiomas of tongue are rare type of malformations. They can be treated mostly conservatively but in some cases they need more aggressive treatment with preoperative intra arterial embolization and surgical resection. Lesions of tongue that are localized superficially can also be treated with direct puncture and injection of sclerosing agent (absolute ethanol). Case report. We present a case of a 48 years old female patient, where we performed embolization of cavernous haemangioma with mixture of absolute ethanol and oil contrast. After the procedure the patient received analgetics and antioedematous therapy. After the sclerotization the planed surgery was abandoned. Control MRI examinations 6 and 12 months after the procedure showed only a small remnant of haemangioma and no signs of a larger relapse. Conclusions. In our case the direct puncture of haemangioma and sclerotherapy with ethanol proved to be a safe and effective method to achieve preoperative devascularization of the lesion. Direct puncture of the lesion is not limited by the anatomy of the vessels or vasospasm, which can occur during the intra-arterial approach.</abstract>

Background. Haemangiomas of tongue are rare type of malformations. They can be treated mostly conservatively but in some cases they need more aggressive treatment with preoperative intra arterial embolization and surgical resection. Lesions of tongue that are localized superficially can also be treated with direct puncture and injection of sclerosing agent (absolute ethanol). Case report. We present a case of a 48 years old female patient, where we performed embolization of cavernous haemangioma with mixture of absolute ethanol and oil contrast. After the procedure the patient received analgetics and antioedematous therapy. After the sclerotization the planed surgery was abandoned. Control MRI examinations 6 and 12 months after the procedure showed only a small remnant of haemangioma and no signs of a larger relapse. Conclusions. In our case the direct puncture of haemangioma and sclerotherapy with ethanol proved to be a safe and effective method to achieve preoperative devascularization of the lesion. Direct puncture of the lesion is not limited by the anatomy of the vessels or vasospasm, which can occur during the intra-arterial approach.

Treatment of tongue cavernous haemangioma with direct puncture and sclerotization with ethanol

Radiology Department, University Medical Centre Maribor, Slovenia

Radiology and Oncology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Background. Haemangiomas of tongue are rare type of malformations. They can be treated mostly conservatively but in some cases they need more aggressive...

Treatment of tongue cavernous haemangioma with direct puncture and sclerotization with ethanol

Publicado en línea: 03 mar 2015

Páginas: 75 - 79

Recibido: 03 oct 2013

Aceptado: 06 dic 2013

DOI: https://doi.org/10.2478/raon-2014-0006

Palabras clave
vascular abnormalities, cavernous haemangioma, direct puncture, ethanol, oil contrast media

© by Tomaz Seruga

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Treatment of tongue cavernous haemangioma with direct puncture and sclerotization with ethanol

Publicado en línea: 03 mar 2015

Páginas: 75 - 79

Recibido: 03 oct 2013

Aceptado: 06 dic 2013

DOI: https://doi.org/10.2478/raon-2014-0006

Palabras clavevascular abnormalities, cavernous haemangioma, direct puncture, ethanol, oil contrast media

© by Tomaz Seruga

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
vascular abnormalities, cavernous haemangioma, direct puncture, ethanol, oil contrast media