PMC5558673_01
Hemangiomatous lesion on the left lateral border of the tongue.
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An asymptomatic, purplish, sessile nodular lesion, firm to palpation, and measuring about 1.5 cm in its greatest diameter was found on the left lateral border of the tongue (Figure 1).
Diascopy (pressure on the lesion with a glass slide) showing color change.
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Fine-needle aspiration was performed and the result was positive for bloody content, suggestive of a hemangiomatous lesion (Figure 2).
Cryocautery system: liquid nitrogen container and pump system used in the present case.
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Tongue pulled to the right and adjacent tissues protected by gauze with Vaseline.
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The tongue apex was sutured with 3-0 nylon, the tongue was pulled to the right, and adjacent tissues (tongue, cheek mucosa, palate, and teeth) were protected by gauze with Vaseline (Figure 4).
Application of liquid nitrogen on the lesion.
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Liquid nitrogen spray cryosurgery was performed in a single session of two cycles of 1 minute each, with a 2-minute interval between cycles (Figure 5).
(a) Appearance of the frozen lesion and (b) formation of perilesional edema and erythema in the immediate postoperative period.
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Immediately after the procedure, the lesion was whitish in color, characterizing the freezing process, and, a few minutes later, after thawing, edema and erythema formations were observed in the treated area (Figure 6).
Postoperative week 1.
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The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
Postoperative week 3.
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The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
Postoperative week 6.
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The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
Postoperative week 8.
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The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
Postoperative month 18.
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A slight scar retraction was observed at the lesion site (Figure 11).