Cavernous lymphangioma: Two case reports
A 15-year-old girl reported to our department with the complaint of diffuse, painless swelling of the lower part of the face since birth. On examination the swelling involved the whole of the mandible area. The swelling was soft in consistency, non tender, and non-compressible []. The swelling was present since birth and has not increased in size. Surgical scar was present in the right side of the angle of mandible. Intraoral examination revealed macroglossia with fissured tongue []. Articulation was normal.\nIncisional biopsy from the lesion revealed epidermis, overlying lymph spaces, and sebaceous glands in the fibrocollagenous dermis. Biopsy of the tongue lesion revealed fragments of stratified squamous epithelium enclosing thin walled vascular and lymphatic spaces in a scanty stroma showing lymphoid aggregates []. Hemolymphangioma is another variant with features showing both a vascular and a lymphatic component.\nCT-neck revealed an ill defined heterogeneous lesion with variable degrees of enhancement involving the mental, submental, submandibular, base of tongue, cheek, bilateral para pharyngeal, and masticator spaces with the left side affected more than the right side. Left parotid gland was involved by the lesion and small calcifications noted within the lesion in the left submandibular region. The tongue appeared thickened, especially in the anterior part and showed altered signal intensity [].