Key result
Surgical excision of a composite hemangioendothelioma of the tongue with a 10 mm safety margin resulted in no recurrence or metastasis at 36 months.
Case Report (n=1)
No
Composite hemangioendothelioma is a rare vascular tumor that can occur in the tongue and was successfully treated with wide local excision without recurrence at 36 months.
Supports wide excision for rare tongue composite hemangioendothelioma; hypothesis-generating and requires larger series before changing practice.
Composite hemangioendothelioma is a rare vascular tumor. Only 22 cases have been reported previously. We report a case of composite hemangioendothelioma arising in the tongue and review the literature on this lesion. A 38-year-old woman had a mass in the right lateral border of the tongue. It was reddish and approximately 8 mm in diameter. We performed an excisional biopsy. Histological examination revealed a vascular neoplasm composed of a complex admixture of several histological patterns, which were similar to low-grade angiosarcoma, epithelioid hemangioendothelioma, and capillary hemangioma. Tumor cells were exposed at the surgical margins. We diagnosed this lesion to be a composite hemangioendothelioma and re-excised it with a safety margin of 10 mm. There was neither recurrence nor metastasis 36 months after the first excision.
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Yagyuu et al. (2011) conducted a case report in Composite hemangioendothelioma (n=1). Surgical excision was evaluated on Recurrence or metastasis. Surgical excision of a composite hemangioendothelioma of the tongue with a 10 mm safety margin resulted in no recurrence or metastasis at 36 months.
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