Cavernous lymphangioma: Two case reports
A 14-year-old boy came to our OPD with the complaints of painless swelling in the left lower part of the face and macroglossia since birth with on and off history of bleeding from the tongue for the past 6 months. Parents had noticed that the child had a larger lower jaw since birth. The swelling gradually increased in size over the years.\nThere was a history of surgical excision for a similar swelling on the right lower face in the mandibular region which was also present since birth; details of the surgery not known. On clinical examination, a solitary ill-defined swelling measuring roughly 2×3 cm in size was noted in the left chin region []. It was warm, non tender and non compressible. The tongue was grossly enlarged. The dorsum anterior 2/3rd and pos 1/3rd and the lateral surface appears pebbly showing numerous erythematous pinpoint projections []. The tongue also appears lobulated. The midline furrow appears deepened. The movements of the tongue were restricted due to tongue-tie. On palpation, the tongue was firm in consistency and non tender on palpation.\nIncisional biopsy from the lesion revealed stratified squamous epithelium overlying bundles of fibro muscular tissue enclosing lymph spaces consistent with lympangioma [].