Abstract

Hemangiolymphangiomas are uncommon developmental anomalies that may affect the mouth. The purpose of this study is to describe a case on the dorsum of the tongue with a 10-year follow-up in a 7-year-old girl. On intraoral examination the patient presented a single lesion measuring 1 × 3 × 0.5 cm with mixed, sessile, irregularly-shaped, and rough surface with vesicular appearance. An incisional biopsy was performed, and the diagnosis of hemangiolymphangioma was established. The patient was initially followed, and the lesion remained stable for 7 years. After this period, the patient began to complain about the aesthetic aspect of the tongue. Therefore, sclerotherapy was proposed with monoethanolamine oleate, obtaining important clinical reduction. As residual lesion was present, electrocautery surgery was proposed. Improvement was achieved, and the patient is satisfied with the result. There are few reports of hemangiolymphangiomas, and their treatment may be a challenge. However, sclerotherapy and surgery may be a good treatment option.

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