Glossal angiomyoma: Imaging findings and endovascular treatment

✍ Scribed by Franklin A. Marden; Gabriel C. Calilao; Grace Guzman; Soma Sinha Roy

• Book ID: 102847512
• Publisher: John Wiley and Sons
• Year: 2004
• Tongue: English
• Weight: 828 KB
• Volume: 26
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.20124

✦ Synopsis

Abstract

Background.

An angiomyoma is an uncommon, benign tumor characterized by numerous vascular channels intermixed with bundles of smooth muscle cells. Oral manifestations are quite rare. We describe for the first time the CT, MRI, and angiographic imaging features and successful preoperative endovascular embolization of an angiomyoma of the tongue. The pathologic findings before and after embolization are also described.

Methods and Results.

A 25‐year‐old man was seen with a rapidly enlarging tongue mass. Imaging studies revealed the extent and hypervascular nature of this tumor. The diagnosis of angiomyoma was confirmed by histologic examination. Preoperative embolization proved to be helpful in the surgical management of this lesion.

Conclusions.

Angiomyoma should be considered in the differential diagnosis of any well‐circumscribed, hypervascular, soft tissue tumor in the mouth. In addition, endovascular embolization may be a useful adjunct that facilitates resection. © 2004 Wiley Periodicals, Inc. Head Neck 26: 1084–1088, 2004