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Treatment of tongue cavernous haemangioma with direct puncture and sclerotization with ethanol.

Seruga T, Lucev J, Jevsek M - Radiol Oncol (2015)

Bottom Line: After the sclerotization the planed surgery was abandoned.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.

View Article: PubMed Central - PubMed

Affiliation: Radiology Department, University Medical Centre Maribor, Slovenia.

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.

No MeSH data available.


Related in: MedlinePlus

Axial plane of the lesion (white arrow) shown with MR angiography with time resolved imaging of contrast kinetics (TRICKS) before treatment.
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f3-rado-49-01-75: Axial plane of the lesion (white arrow) shown with MR angiography with time resolved imaging of contrast kinetics (TRICKS) before treatment.

Mentions: Contrast enhanced MRI with time resolved imaging of contrast kinetics sequence (TRICKS) was performed, so that the best method of treatment could be selected (Figure 1, Figure 2 and Figure 3). The maxillofacial surgeon planed a surgery, so we were asked to perform a preoperative intra-arterial embolization. Because of the superficial localization of the lesion, we chose a direct puncture as the most appropriate approach.


Treatment of tongue cavernous haemangioma with direct puncture and sclerotization with ethanol.

Seruga T, Lucev J, Jevsek M - Radiol Oncol (2015)

Axial plane of the lesion (white arrow) shown with MR angiography with time resolved imaging of contrast kinetics (TRICKS) before treatment.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4362610&req=5

f3-rado-49-01-75: Axial plane of the lesion (white arrow) shown with MR angiography with time resolved imaging of contrast kinetics (TRICKS) before treatment.
Mentions: Contrast enhanced MRI with time resolved imaging of contrast kinetics sequence (TRICKS) was performed, so that the best method of treatment could be selected (Figure 1, Figure 2 and Figure 3). The maxillofacial surgeon planed a surgery, so we were asked to perform a preoperative intra-arterial embolization. Because of the superficial localization of the lesion, we chose a direct puncture as the most appropriate approach.

Bottom Line: After the sclerotization the planed surgery was abandoned.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.

View Article: PubMed Central - PubMed

Affiliation: Radiology Department, University Medical Centre Maribor, Slovenia.

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.

No MeSH data available.


Related in: MedlinePlus