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Image Number 4742 (Venous lake)


Diagnosis: Venous lake

Site: Tongue

Sex: M

Age: 60


Description: Dark-blue compressible nodule.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


 A 60-year-old man presented with an asymptomatic small grape or raisin-like compressible papulonodule on the base of the frenulum of the tongue (yellow-arrow) of 2 years duration. No associated skin or systemic findings.  The lesion was removed in toto as an excisional therapeutic-diagnostic biopsy and the result was “a dilated blood-filled vascular channel lined with a single layer of flattened endothelial cells and a thin wall of fibrous tissue filled with red blood cells." 

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