下頦部靜脈畸型併管內結石－病例報告

Venous Vascular Malformation with Phleboliths at Submental Region-A Case Report

于錫倩(His-Chien Yu) ； 張雅菁(Ya-Ching Chang) ； 官文雄(Wen-Hsiung Guan) ； 楊榮武(Rong-Wu Yang) ； 陳昭安(Chao-An Chen) ； 吳泰清(Tai-Ching Wu) ； 崔祐堃(Yu-Kun Tsui) ； 林靖南(Ching-Nan Lin) ； 蔣維凡(Wei-Fan Chiang)

《臺灣口腔顎面外科學會雜誌》 23卷2期 (2012/06) Pp. 114-124

https://doi.org/10.7104/TJOMS.201206.0114

摘要

“血管瘤”一詞以往被廣泛的用來形容良性血管病變，直至1996年國際血管變異研究學會提出建議將良性血管病變區分為血管瘤及血管畸形。血管瘤是嬰兒時期最常見的腫瘤，多數嬰兒的血管瘤隨著年紀增長而自然消退；但血管畸形則不然，甚至因其血管內血流流速的改變及血管內皮損傷，進而出現血管內結石的現象，這些鈣化的結石可以從X光檢查或身體檢查中發現，必須與唾液腺結石、扁桃腺結石、主動脈粥狀硬化或其他鈣化病變做鑑別診斷。血管畸形合併管內結石甚少發生在下頦區，本文提出一位右下頦部靜脈畸形併結石的病例，對於其臨床表徵、影像學檢查、治療方式提出報告，並回顧相關文獻。

關鍵字

血管畸形 ； 血管瘤 ； 靜脈結石

並列摘要

”Hemangioma” was used to describe benign vascular anomalies. International Society for the Study of Vascular Anomalies classified vascular abnormalies into two categories: hemangioma and vascular malformations in 1996. Hemangioma is the most common tumor of infancy. Most of infant hemangiomas will spontaneous involute with age; however vascular malformations will progressively expand. Due to alteration of blood flow and damage of endothelium, vascular malformations commonly accompanied with phleboliths. Althongh phlebolith can be simply detected on plain film X-ray or by physical examination, it should be distinguished from sialolithiasis, tonsillolith, atherosclerotic plaques in the carotid artery or other calcified lesion. Vascular malformation with phleboliths rarely occurred in submental region. We present a case of venous vascular malformation with phleboliths in the digastric muscle, and report the clinical symptoms, image studies, differential diagnosis, treatment course and literature reviews.

並列關鍵字

Vascular malformations ； Hemangioma ； Phlebolith