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<p>Haemangiomas are benign vascular tumours characterized by proliferating blood vessels and are commonly encountered in the head and neck region; however, their occurrence at the tongue base is exceptionally rare. Owing to the tongue’s complex mobility and functional importance, such lesions may lead to significant clinical challenges. This report describes a large capillary haemangioma of the tongue base in a young adult.&#xa0;A 26-year-old male presented with an incidentally detected tongue-base mass following an episode of oral bleeding. Progressive dysphagia developed over time, although speech and tongue mobility remained normal. MRI revealed a heterogeneous exophytic vascular lesion, and FNAC confirmed haemangioma. The mass, approximately 4 × 3&#xa0;cm, was completely excised via a trans-oral approach. Histopathological evaluation established the diagnosis of capillary haemangioma. The postoperative course was uneventful, and no recurrence was noted after 12 months of follow-up.&#xa0;Tongue-base haemangiomas may mimic other benign lesions, making accurate diagnosis essential. Given the risk of bleeding, airway compromise, and functional impairment, prompt evaluation and appropriate surgical management are crucial to achieving optimal patient outcomes.</p>

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A Huge Haemangioma of Tongue Base: A Case Report

  • 期刊论文

  • 发表日期：

    2026年3月12日

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  • Heemani Bhardwaj,
  • Amitabh Sharma

摘要

Haemangiomas are benign vascular tumours characterized by proliferating blood vessels and are commonly encountered in the head and neck region; however, their occurrence at the tongue base is exceptionally rare. Owing to the tongue’s complex mobility and functional importance, such lesions may lead to significant clinical challenges. This report describes a large capillary haemangioma of the tongue base in a young adult. A 26-year-old male presented with an incidentally detected tongue-base mass following an episode of oral bleeding. Progressive dysphagia developed over time, although speech and tongue mobility remained normal. MRI revealed a heterogeneous exophytic vascular lesion, and FNAC confirmed haemangioma. The mass, approximately 4 × 3 cm, was completely excised via a trans-oral approach. Histopathological evaluation established the diagnosis of capillary haemangioma. The postoperative course was uneventful, and no recurrence was noted after 12 months of follow-up. Tongue-base haemangiomas may mimic other benign lesions, making accurate diagnosis essential. Given the risk of bleeding, airway compromise, and functional impairment, prompt evaluation and appropriate surgical management are crucial to achieving optimal patient outcomes.