Benign tongue tumor diagnosed in 5-year-old’s tongue, surgical treatment effective

(Disclaimer: This article is only for popular science purposes, in order to protect the privacy of patients, the following content of the relevant information has been processed) Abstract: a young mother with her child in the children’s outpatient clinic, the child describes: the child’s tongue to grow a small bag, has been about two months, taking medicine is not good, with a needle to break the bag can not go down, overwhelmed by the rush to the hospital to register to see a doctor. After careful oral examination and preoperative examination, the child underwent excision of the tongue mass and was sent to the hospital for pathological biopsy. The mass was a granulomatous hemangioma, a benign tumor of the tongue, and the mass disappeared after the operation, and the mucous membrane of the tongue recovered well. Basic information] Male, 5 years old [Type of disease] Granulomatous hemangioma [Hospital] Inner Mongolia Autonomous Region Maternal and Child Health Hospital [Time of consultation] March 2022 [Treatment plan] Tongue mass excision [Treatment cycle] 1 day of outpatient treatment, 1 week of postoperative follow-up [Effect of treatment] The mass was eliminated, and the sublingual mucous membrane recovered to normal, with good therapeutic effect. I went to the children’s clinic as usual, and a young mother brought her child to the clinic. The mother said anxiously, “Doctor, there is a small bag on the child’s tongue, which has not disappeared and has been there for 2 months, and it is not good to take medicines, nor can it go down even if the bag is pierced by a needle, and I recently found that the child would inevitably bite the bag when he eats. ” . Carefully inquire about the medical history, the child 2.5 months ago suffered trauma bump broken tongue. Through a careful oral examination, the child’s parents explained in detail that this swelling requires surgical resection and pathological examination, preoperative perfect relevant examinations, including infection four, coagulation four, blood routine are not abnormal, ECG for sinus rhythm. The child’s parents expressed understanding. The child was usually in good health, with no chronic diseases and no closed-air syndrome. Second, the treatment of the child for oral examination, medical records: sublingual mucosa visible swelling, color translucent, tougher texture, tibial, good mobility, the surface is not broken without active bleeding, no obvious tenderness, the oral cavity of the milk teeth, good oral hygiene. Auxiliary examination of infection four, coagulation four, blood routine did not show any abnormality. Local anesthesia of the tongue mass was performed using compound Articaine hydrochloride injection, a shuttle incision design was performed to excise the sublingual mucosal mass, and absorbable thread was used to perform local incisional suturing to stop bleeding and close the incision. The child cooperated very well throughout the treatment without serious crying, and after the operation, the child and I said, “Thank you doctor auntie!” After the operation, the child said to me, “Thank you, doctor, auntie!” and followed his mom out of the clinic. After the operation, the tongue mass was sent to the Pathology Department for pathologic examination. On the second day after the operation, I went to the dental clinic for follow-up to observe the recovery of the incision. One week later, the sublingual mucosa recovered well. The pathology report showed “granulomatous hemangioma”. This swelling is a benign tumor of the tongue, which made the parents finally put down the heart. The child’s tongue mass was eliminated and the sublingual mucosa was normalized, the treatment effect was good. Pathological return showed “granulomatous hemangioma”. This is a kind of benign swelling, not with the word “tumor” is malignant swelling. For example, lipomas and fibrous tumors are benign. The child went to the outpatient clinic for follow-up 1 week after the operation, and there was no abnormality. Parents were instructed to pay attention to a light diet and remind the child not to bite the tip of the tongue when eating, and to return to the clinic at any time if there is any discomfort. Fourth, the precautions Seeing the child happy to leave the hospital, I was also happy for him. Parents should monitor the child’s body temperature, fever symptoms, severe pain, such as fever, severe pain symptoms, need to be the first time for dental follow-up, under the guidance of the doctor to use medication, about 2 hours after the operation, then drink water and eat a small amount of food, you can choose to eat warm and cool semi-liquid or liquid food, to avoid eating hard hot food scratch the incision. Avoid biting into the incision and suture line when eating, keep your mouth clean, and drink more cool water in moderation. V. Personal perception No matter which part of the body has a swelling, do not feel free to squeeze, puncture, needle and other undesirable stimuli. This will aggravate the condition and bring different degrees of difficulty to the treatment. Parents of children need to go to the hospital as soon as they find an abnormal swelling, so as not to delay the condition. Children’s tongue and lip mucous membrane swelling occurs after trauma or bite wounds, sometimes found not in time, and after the discovery of drugs, or bad stimulation should not be arbitrary. Most parents are nervous and anxious when they hear about the need for surgical removal, but it is not possible to let the swelling grow without removing it and characterizing its pathology. We advise parents of children to treat the disease with early detection, treatment and healing. Parents should not panic and put their minds at ease so that their children can have more confidence in overcoming the disease.