<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

Published Online: Mar 03, 2015

Page range: 75 - 79

Received: Oct 03, 2013

Accepted: Dec 06, 2013

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

Keywords
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

Published Online: Mar 03, 2015

Page range: 75 - 79

Received: Oct 03, 2013

Accepted: Dec 06, 2013

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

Keywordsvascular 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.

Keywords
vascular abnormalities, cavernous haemangioma, direct puncture, ethanol, oil contrast media