The purpose of the present study was to investigate and to compare clinicopathological findings on capillary hemangioma (CPH) and cavernous hemangioma (CVH) of the human tongue. The materials used were biopsy specimens of the tongue dealed with in the division of pathology, central clinical laboratory, and in the department of oral pathology, school of dentistry, during the past ten years (1971-1980). The following findings were obtained.
1. There was little difference noted in the incidence of CPH and CVH between male and female.
2. Mean age on first recognition of the tumor was 51.7土16.4 years in the CPH group and 29.9土23.0 years in the CVH group, being significantly younger in the latter (P<0.05). The mean age on consultation to the hospital was 51.3土18.2 years in the CPH group and 28.5土19.6 years in the CVH group.
3. Tumor formation represented the chief complaint in an overwhelming majority in both the CPH and the CVH groups.
4. The CPH tended to be located in the relatively anterior part of the tongue, whereas CVH was seen all over the tongue.
5. The interval between subjective recognition of the hemangioma and consultation to the hospital (suffering duration) ranged between 1 and 18 months in many cases of the CPH group. In the CVH group, this interval was less than 3 months in some cases, and 2 to 8 years in others.
6. The size of the hemangioma was apparently unrelated to the division between the CPH and the CVH group.
7. In the macroscopic findings, pedunculated and sessile hemangiome were found in almost equal in number in all cases investigated in the CPH group, whereas sessile hemangiomas were predominant in the CVH group.
8. The surface of the hemangioma showed ulceration in many cases of the CPH group, while ulceration was quite rare in the CVH group.
9. Inflmmatory cell infiltration was seen in both the CPH and the CVH groups, There was no indication of severe cell infiltration in the CVH group.
10. Although CPH and CVH of the tongue have frequently been discussed togethor, the present results indicated that in many aspects the characteristics of CPH and CVH are different, therefore it may be assumed that the causes and histogenesis of these two kinds of hemangioma are also probably different.
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