case_images: PMC5558673_01
case_images: Hemangiomatous lesion on the left lateral border of the tongue.
case_images: CRIOT2017-8529016.001.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.001.jpg
case_images: fig1
case_images: An asymptomatic, purplish, sessile nodular lesion, firm to palpation, and measuring about 1.5 cm in its greatest diameter was found on the left lateral border of the tongue (Figure 1).
case_images: Diascopy (pressure on the lesion with a glass slide) showing color change.
case_images: CRIOT2017-8529016.002.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.002.jpg
case_images: fig2
case_images: Fine-needle aspiration was performed and the result was positive for bloody content, suggestive of a hemangiomatous lesion (Figure 2).
case_images: Cryocautery system: liquid nitrogen container and pump system used in the present case.
case_images: CRIOT2017-8529016.003.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.003.jpg
case_images: fig3
case_images: Tongue pulled to the right and adjacent tissues protected by gauze with Vaseline.
case_images: CRIOT2017-8529016.004.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.004.jpg
case_images: fig4
case_images: The tongue apex was sutured with 3-0 nylon, the tongue was pulled to the right, and adjacent tissues (tongue, cheek mucosa, palate, and teeth) were protected by gauze with Vaseline (Figure 4).
case_images: Application of liquid nitrogen on the lesion.
case_images: CRIOT2017-8529016.005.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.005.jpg
case_images: fig5
case_images: Liquid nitrogen spray cryosurgery was performed in a single session of two cycles of 1 minute each, with a 2-minute interval between cycles (Figure 5).
case_images: (a) Appearance of the frozen lesion and (b) formation of perilesional edema and erythema in the immediate postoperative period.
case_images: CRIOT2017-8529016.006.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.006.jpg
case_images: fig6
case_images: Immediately after the procedure, the lesion was whitish in color, characterizing the freezing process, and, a few minutes later, after thawing, edema and erythema formations were observed in the treated area (Figure 6).
case_images: Postoperative week 1.
case_images: CRIOT2017-8529016.007.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.007.jpg
case_images: fig7
case_images: The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
case_images: Postoperative week 3.
case_images: CRIOT2017-8529016.008.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.008.jpg
case_images: fig8
case_images: The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
case_images: Postoperative week 6.
case_images: CRIOT2017-8529016.009.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.009.jpg
case_images: fig9
case_images: The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
case_images: Postoperative week 8.
case_images: CRIOT2017-8529016.010.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.010.jpg
case_images: fig10
case_images: The patient returned for outpatient follow-up at 1, 3, 6, and 8 weeks postoperatively (Figures 7, 8, 9, and 10).
case_images: Postoperative month 18.
case_images: CRIOT2017-8529016.011.jpg
case_images: PMC5558673_01_CRIOT2017-8529016.011.jpg
case_images: fig11
case_images: A slight scar retraction was observed at the lesion site (Figure 11).