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Lingual Varicosities

What are the clinical features of lingual varicosities? Lingual Varicosities exhibit swollen, tortuous veins that are pigmented, red or both. They usually appear on the lateral boarder of the tongue but can be in any area of the oral cavity. Lesions are usually asymptomatic, secondary thrombosis can occur.
What are the demographics of lingual varicosities? Sublingual varices are common in adults and are in two thirds of patients 60 years or older.
Please describe the lesion type for lingual varicosities. The oral varicosities present as purplish-blue spots, nodules or ridges. The lesion can be diffuse or local and appear as elevated or popular blebs on the ventral and lateral border of the tongue.
What are the histologic features of lingual varicosities? Sections will show parakeratotic surface, atrophic stratified squamous epithelium. The lamina propria is loosely arranged fibrous fatty connective tissue with a single endothelial-lined dilated channel.
What are the 3 differential diagnosis for lingual varicosities? Confirm lesion using diascopy. The differential list includes: hemangioma (benign growth due to abnormal collection of blood vessels), hematoma (localized collection of blood vessels due to trauma/disease), melanoma (cancer of melanocytes).
What is the treatment for lingual varicosities? Sublingual varicosities are usually asymptomatic, and no treatment is required. Lesions of the lips and buccal mucosa may need to be surgically removed to confirm diagnosis and for aesthetic reasons.
Created by: emma.carpenter