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Oral lymphangioma - Oral Mucosal Lesion
Other Resources UpToDate PubMed

Oral lymphangioma - Oral Mucosal Lesion

Contributors: Carl Allen DDS, MSD, Sook-Bin Woo MS, DMD, MMSc
Other Resources UpToDate PubMed

Synopsis

Oral lymphangioma is a benign hamartomatous proliferation of lymphatic channels in the oral cavity. Most lymphangiomas affect children and young adults. Lymphangiomas have a predilection for the tongue, where they cause macroglossia.

In African-American neonates (particularly females), lymphangiomas occur on the alveolar ridge. They are essentially lymphangioma circumscriptum and will resolve spontaneously. Lesions are painless.

Codes

ICD10CM:
D18.01 – Hemangioma of skin and subcutaneous tissue

SNOMEDCT:
238803001 – Oral lymphangioma

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Orofacial herpes simplex virus (HSV) infection causes painful vesicles/ulcers that are clustered and multifocal but not usually in a mass.
  • Herpes zoster (VZV) infection often affects the tongue unilaterally but is also painful.
  • Oral varices
  • Lipoma
  • Ranula
  • Oral hemangioma tend to be uniformly reddish purple.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated:06/20/2017
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Oral lymphangioma - Oral Mucosal Lesion
A medical illustration showing key findings of Oral lymphangioma : Bleeding oral lesion, Buccal mucosa, Mucosal lip, Oral cyst, Oral papules
Clinical image of Oral lymphangioma - imageId=2446917. Click to open in gallery.  caption: 'A mucosal nodule arising from the upper lip.'
A mucosal nodule arising from the upper lip.
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