Glossal angiomyoma: imaging findings and endovascular treatment.
BACKGROUND
An angiomyoma is an uncommon, benign tumor characterized by numerous vascular channels intermixed with bundles of smooth muscle cells. Oral manifestations are quite rare. We describe for the first time the CT, MRI, and angiographic imaging features and successful preoperative endovascular embolization of an angiomyoma of the tongue. The pathologic findings before and after embolization are also described.


RESULTS
A 25-year-old man was seen with a rapidly enlarging tongue mass. Imaging studies revealed the extent and hypervascular nature of this tumor. The diagnosis of angiomyoma was confirmed by histologic examination. Preoperative embolization proved to be helpful in the surgical management of this lesion.


CONCLUSIONS
Angiomyoma should be considered in the differential diagnosis of any well-circumscribed, hypervascular, soft tissue tumor in the mouth. In addition, endovascular embolization may be a useful adjunct that facilitates resection.
Marden
Franklin A
FA
Department of Radiology, University of Illinois-Chicago, Chicago, Illinois 60612, USA.
Calilao
Gabriel C
GC
Guzman
Grace
G
Roy
Soma Sinha
SS
D000328:Adult; D018229:Angiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D001707:Biopsy, Needle; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D005927:Glossectomy / Q000379:methods; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D009367:Neoplasm Staging; D011300:Preoperative Care / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D014062:Tongue Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome