Microcystic Lymphatic Malformation: A Case Report Yousif I Eltohami, Nour E Alim and Amal H Abuaffan * University of Khartoum, Al-Gamaa Ave, Khartoum 11111, Sudan * Corresponding author: Amal H Abuaffan, University of Khartoum, Faculty of dentistry, Sudan, Tel: +249917481188; E-mail: amalabuafan@yahoo.com Received date: Feburary 20, 2017; Accepted date: March 06, 2017; Published date: March 13, 2017 Copyright: © 2017 Eltohami YI, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Lymphatic malformations appear in different parts of the body, but when it rises cervico-facially it would probably be in the oral cavity, it is uncommon in adult, usually appear in infancy and early childhood. This is a case report of lingual lymphatic malformation in a 32 years old Sudanese male treated with hot saline and intra lesion steroids. Keywords: Lymphatic malformation; Lymphangioma; Tongue, Adult; Hot saline; Ttriamcinolone acetnoide Introduction Lymphatic malformations are a congenital malformed lymphatic vessels [1]. It is divided into; the macro cystic type, cysts more than 2 cm with clear margins, the microcystic type, consisting of cysts less than 2 cm, which has difuse ill defned margins and the combined type include. Micro cystic type usually found in the oral cavity, throat, the tongue, sub-mandibular gland and parotid gland. It can cause macroglossia, difculty in breathing and eating [2]. Most of the cases diagnosed directly afer delivery, and 90% are developed before the age of two years [3]. Tey can appear at many sites but the majority in the head and neck 75% of which occur in the oral cavity, followed by the oropharynx and the parapharyngeal space [4]. Intraoral, frequently found in the tongue, lips, mucosa buccally, mouth foor and sof palate [5]. Lymphatic malformation appear as a sof tissue tumor that grow slowly with no pain, that depends on the lesion extension. Te outer ones appear as pebbly irregular surface with pinkish color though it can be reddish or slight purple if hemorrhages secondarily occur [6], while the deeper ones appear as sof, difuse lesions with normal color [5]. Treatment of the lymphatic malformations ranged from surgery, radio-therapy, sclerotherapy cryotherapy, steroid injection, electrocautery, embolization, ligation, and laser surgery [7]. Tis is a case report of lymphatic malformation of the tongue managed by intra lesional steroid injection and hot saline. Case Scenario A 32 years old Sudanese male came to the private dental clinic complaining from painless difuse frm tongue swelling. Te lesion appeared shortly afer birth and increased gradually in size. Te past medical history, the patient generally ft, without a history of habits consumption. Clinical examination, non tender difuse frm tongue swelling with rough pebbly telangiectatic surface with salmon egg appearance. Tere were no hotness, thrills or bruits and no bloody discharge (Figures 1 and 2). Incision biopsy result revealed classic histopathological features of lymphatic malformation with scatter endothelial cells. Treatment, hot normal saline and intra lesional steroid (triamicelone acetnoid 40 mg) was prescribed one injection weekly for 10 weeks. Figure 1: Shows difuse tongue swelling with rough pebbly surface and salmon eggs appearance. Figure 2: Shows difuse frm swelling of the ventrum of the tongue with telangiectatic pebbly surface. Dentistry Eltohami et al., Dentistry 2017, 7:3 DOI: 10.4172/2161-1122.1000416 Case Report OMICS International Dentistry, an open access journal ISSN:2161-1122 Volume 7 • Issue 3 • 1000416