T2 T1 pre-gad T1 post-gad

Diagnosis: Tongue base hemangioma

Hemangioma is the most common tumor of the neck in children and is a cause of stridor in infants who present with respiratory distress. Other entities which may present as masses involving the tongue in a child include teratoma, lingual thyroid, lymphangioma, dermoid, thyroglossal duct cyst and granular cell myoblastoma. In adults entities to consider include squamous cell carcinoma, salivary gland neoplasm and lymphoma. On imaging, hemangiomas are indistinguishable from lymphangiomas. They typically have isointense T1 signal and high signal on T2 and enhance. Curvilinear low signal structures may be seen on T2 and represent flow voids. Related Cases

Yonetsu K, Nakayama E, Miwa K, et al. Magnetic resonance imaging of oral and maxillo- facial angiomas. Oral Surg Oral Med Oral Pathol, Dec 1993; 76(6):p783-9.

Lalwani AK, Engel TL. Teratoma of the tongue: a case report and review of the literature. International Jour of Pediatr Otorhin, Nov 1992; 24(3):p261-8.

Submandibular abscess Hemangioma