An 11-day-old baby was presented by his parents with tongue progressively increasing in size, making it difficult for the mother to continue breastfeeding. The baby did not appear to be in any acute distress. Examination revealed an elevated tongue and swelling in the submental space. The color was pink, similar to the surrounding mucosa. Palpation of the area revealed a firm mass at the floor of the mouth and posterior tongue. The patient was not cyanotic and was able to breathe through his nose.
The overlying mucosa was intact without any evidence of ulceration or purulent drainage. The patient’s medical history revealed no known drug allergies or developmental defects. He is not on any medications. Histology evaluation revealed a large lesion of vascular origin. It was made up of vascular spaces of variable shapes and sizes. They are lined by one layer of flat endothelial…