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Year : 2010  |  Volume : 76  |  Issue : 5  |  Page : 593

Tense vesicles on the dorsum of tongue


1 Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, 1 Khudiram Bose Sarani, Kolkata, India
2 Department of E.N.T., R.G. Kar Medical College, 1 Khudiram Bose Sarani, Kolkata, India

Date of Web Publication7-Sep-2010

Correspondence Address:
Sudip Kumar Ghosh
Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, 1 Khudiram Bose Sarani, Kolkata
India
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DOI: 10.4103/0378-6323.69100

PMID: 20827021

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How to cite this article:
Ghosh SK, Bandyopadhyay D, Bandyopadhyay SN. Tense vesicles on the dorsum of tongue. Indian J Dermatol Venereol Leprol 2010;76:593

How to cite this URL:
Ghosh SK, Bandyopadhyay D, Bandyopadhyay SN. Tense vesicles on the dorsum of tongue. Indian J Dermatol Venereol Leprol [serial online] 2010 [cited 2014 Oct 22];76:593. Available from: http://www.ijdvl.com/text.asp?2010/76/5/593/69100


A 12-year-old girl presented with gradually enlarging painless swellings on the dorsal surface of her tongue. According to her parents, the lesions had been present almost since her birth. Besides slight difficulty in swallowing of foods, the lesions were asymptomatic in nature. There was no history of trauma. Her past medical history was unremarkable. Clinical examination revealed multifocal, pinkish, pebbly, tense vesicular lesions [Figure 1] on the dorsum of the posterior third of the tongue. There was no dental abnormality. Examinations of the skin and other systems were normal. Routine laboratory investigations were noncontributory. An excisional biopsy of the lesion was performed.
Figure 1 : (a) Multifocal tense cystic lesions on the tongue (b) Excision biopsy specimen showing tense vesicles


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Histopathological examination of the serial sections of the excision biopsy specimen showed dilated endothelium-lined channels filled with acellular amorphous eosinophilic materials. The overlying stratified squamous epithelium was hyperplastic. [Figure 2] and [Figure 3].
Figure 2 : Dilated channels filled with acellular amorphous eosinophilic materials with overlying hyperplastic stratified squamous epithelium (H and E, ×40)


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Figure 3 : Dilated endothelium-lined channels filled with lymph fluid (H and E, ×100)


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  References Top

1.Stγnescu L, Georgescu EF, Simionescu C, Georgescu I. Lymphangioma of the oral cavity. Rom J Morphol Embryol 2006;47:373-7.  Back to cited text no. 1      
2.Calonje E. Vascular Tumors: Tumors and tumor-like conditions of blood vessels and lymphatics. In: Elder DE, Elenitsas R, Jhonson BL, Murphy GF, Xu X, editors. Lever's histopathology of the skin. 10 th ed. New Delhi: Wolters Kluwer- Lippincott Williams & Wilkins; 2009. p. 1007-56   Back to cited text no. 2      
3.Bansal A, Sethuraman G. Lymphangioma circumscriptum of the tongue. Indian Pediatr 2006;43:650-1.  Back to cited text no. 3      
4.Tei E, Yamataka A, Komuro Y, Ohshiro K, Yanai A, Lane GJ, et al. Huge lymphangioma of the tongue: a case report. Asian J Surg 2003;26:228-30.  Back to cited text no. 4      
5.Iamaroon A, Pongsiriwet S, Srisuwan S, Krisanaprakornkit S. Lymphangioma of the tongue. Int J Paediatr Dent 2003;13:62-3.  Back to cited text no. 5      


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1 Tense vesicles on the dorsum of tongue
Ghosh, S., Bandyopadhyay, D., Bandyopadhyay, S.
Indian Journal of Dermatology, Venereology and Leprology. 2010; 76(5): 593
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