Abstract

Varix is found throughout the body, it generally appears in the ramus inferior, semiferous, and oesophageal regions with age increase. The disease is characterized pathologically by the local dilation of the vessel wall to form a tumor.Literature concerning the occurence of varix in the head and neck regions is rare, and a search revealed no cases involving young men or women.In this report, we described the details of a case of varix occurring in the submental region of a young girl. The patient, an 11 year old girl, complained of repeated elastic soft swelling in the submental region and of spontaneous pain when swallowing.The tumor was located by palpation near the surface of the submental region. At first it was diagnosed from clinical findings to be a dermoid or epidermoid cyst or haemangioma. Although a scar would result, a skin incision was carried out and the tumor was removed under general anesthetic. The tumor was dark purplish red in color and had partially invaded the mylohyoid muscle.The specimen consisted of small vein, venules and capillaries suggesting haemangioma.However the endotherial cells of veins were well developed, and there was thrombosis like stagnation of erythrocytes and polymorphonuclear leukocytes in the venous lumens, indicating a diagnosis of varix.

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