case RePORT OPeN access www.edoriumjournals.com International Journal of Case Reports and Images (IJCRI) International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties. Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.com Dabska tumor of the tongue: A clinicopathological study with confocal laser scanning microscopy Gianfranco Favia, Luisa Limongelli, Angela Tempesta, Eugenio Maiorano ABSTRACT Introduction: Dabska tumor, or papillary intra-lymphatic angioendothelioma (PILA), frst described in 1969 by Dabska, is a rare vascular low grade malignancy that usually affects the skin and subcutaneous tissues of infants. Case Report: We report a case of PILA of the right tongue in a 65 years old male patient presenting as a white-bluish multinodular lesion, measuring 4x3 cm. After wide excision, histological examination was carried out with confocal laser scanning microscopy (CLSM). The histological features seen during optical examination were: thin-walled vascular spaces resembling a cavernous lymphangioma, and the formation of prominent intraluminal papillary tufts with hyaline cores lined by hobnail endothelial cells. The CLSM analysis highlighted muscle infltration, and high fuorescence of intraluminal papillary core due to the presence of young thin collagen fbers devoid of cross-links. Thus, a fnal diagnosis of PILA was made. Conclusion: Confocal laser scanning microscopy analysis could surely facilitate the histological diagnosis, allowing the identifcation of some features of the tumor. (This page in not part of the published article.)