A case of a large thrombosed lingual varix

Publication date: Available online 22 November 2018

Source: Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology

Author(s): Midori Eguchi, Hisao Shigematsu, Yuka Oku, Kentaro Kikuchi, Munehisa Okada, Hideaki Sakashita

Abstract

Lingual varix is a condition characterized by purplish venous ectasia. It is usually found on the ventral surface of the tongue in elderly patients. On the other hand, thrombosed oral varices are small, localized, and probably not uncommon lesions. However, large thrombosed oral varices are very rare, and there have not been any reports about thrombosis in lingual varices. This report describes a rare case of a large thrombosed lingual varix involving the sublingual vein. A 75-year-old female presented with a mass on the ventral surface of her tongue. A lingual tumor was initially suspected based on echography and magnetic resonance imaging, and an excisional biopsy was performed under general anesthesia. A definitive histopathological diagnosis of venous thrombosis was made. We would like to emphasize that venous thrombosis should always be considered as a differential diagnosis in cases in which a dark blue or purple, painless tumor arises on the ventral surface of the tongue.

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