Tongue Hemangiomas: Should You Consider Removal?

Hemangioma on the tongue

Doctor, I have a small tumor on my tongue.
The doctor just pressed on it and said it was a hemangioma that doesn't need to be removed.
However, I have read many articles stating that if it is not removed, it could worsen.
Is it okay for me not to have it removed? (It has been confirmed for a year now, and its size hasn't changed, nor does it cause any pain.)

Serena, 10~19 year old female. Ask Date: 2016/03/27

Dr. Zheng Jueyi reply Otolaryngology

Hello! Generally, hemangiomas are benign.
If there is no continuous growth or bleeding, observation may be sufficient.
If there are concerns about other changes, you can also discuss surgical removal with your physician.
Wishing you health and happiness! Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/27

More Info

When it comes to tongue hemangiomas, the decision to remove them or not can be quite nuanced and depends on several factors, including the size, location, symptoms, and potential for complications. Hemangiomas are benign tumors made up of blood vessels and are relatively common in infants and children, but they can also occur in adults.
In your case, since the hemangioma on your tongue has been stable for a year without any pain or significant changes in size, it may not require immediate removal. Many hemangiomas can remain asymptomatic and do not pose any health risks. However, there are a few considerations to keep in mind:
1. Monitoring: Regular monitoring is essential. If the hemangioma remains stable and does not cause any discomfort, it may be reasonable to continue observing it. However, if you notice any changes in size, color, or if it starts to cause pain or difficulty with eating or speaking, you should consult your healthcare provider.

2. Potential for Complications: While many hemangiomas do not lead to complications, there is a possibility that they could cause issues if they grow or if they are located in a sensitive area. For example, if the hemangioma were to grow significantly, it could obstruct the airway or interfere with normal tongue function.

3. Removal Considerations: If you are concerned about the hemangioma, or if it starts to change, surgical removal is an option. The procedure is typically straightforward, especially if the hemangioma is not deeply embedded in the tissue. However, surgery carries its own risks, including bleeding, infection, and scarring.

4. Consultation with Specialists: It may be beneficial to seek a second opinion from an oral surgeon or an otolaryngologist (ENT specialist) who has experience with hemangiomas. They can provide a more detailed assessment and help you weigh the pros and cons of removal versus observation.

5. Psychological Impact: Sometimes, the presence of a hemangioma can cause psychological distress, even if it is not physically problematic. If you find that the hemangioma affects your self-esteem or quality of life, discussing removal options with your doctor may be worthwhile.

In summary, if your hemangioma has been stable for a year and is not causing any symptoms, it may be reasonable to continue monitoring it without immediate removal. However, staying vigilant for any changes and maintaining open communication with your healthcare provider is crucial. If you have any concerns or if the hemangioma begins to change, do not hesitate to seek further evaluation and discuss your options.

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