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J Laryngol Otol. 2009 Dec;123(12):1390-2. doi: 10.1017/S0022215109005714. Epub 2009 Jun 23.

Lymphangioma circumscriptum of the tongue: successful treatment using intralesional bleomycin.

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  • 1Department of Otorhinolaryngology and Head and Neck Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi, India. drpooja_kataria@yahoo.com



We report a case of lymphangioma circumscriptum of the tongue, a very rare site of occurrence, which was successfully managed with intralesional bleomycin therapy.


We present a case report and review of available literature regarding lymphangioma circumscriptum of the tongue and the role of bleomycin therapy.


The patient was a 19-year-old man with a long-standing lesion involving the tongue, who presented with spontaneous, episodic bleeding over the previous few months. A diagnosis of lymphangioma circumscriptum was established on biopsy. Intralesional bleomycin injection resulted in successful resolution, and the patient remained asymptomatic over more than one year's follow up.


Lymphangioma circumscriptum is usually seen in the extremities and genitals. This case had a very rare site of occurrence, the tongue, and was successfully managed with conservative treatment, using intralesional bleomycin alone.

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