口腔底部靜脈性血管瘤伴發靜脈石－病例報告

Venous Hemangioma with Phleboliths in the Floor of the Mouth - Case Report

林貞姬(Chen-Chi Lin) ； 呂瑞文(Ruei-Wen Lue) ； 葉啟偉(Chi-Wei Yeh) ； 林萬哲(Oan-Che Linne) ； 黃文哲(Tomas W. Huang)

《中華民國耳鼻喉科醫學會雜誌》 27卷2期 (1992/06) Pp. 189-194

https://doi.org/10.6286/1992.27.2.189

摘要

血管瘤在頭頸部軟組織瘤中並不少見。但因血管瘤中血流過緩或炎症反應形成血栓，更進而鈣化為靜脈石者則很少見。台北市立仁愛醫院耳鼻喉科在1989年經驗1例口腔底部腫瘤伴隨許多鈣化質塊，經手術摘除，理檢查證實為罕見的靜脈性血管瘤伴多發性血栓及靜脈石。手術後經2年追踨，無殘餘靜脈石或唾液瀦積發生。本就此病與唾石併唾腺炎之鑑別提出討論。

關鍵字

靜脈性血管瘤.靜脈石

並列摘要

Though hemangioma of the head and neck is fairly common, hemangioma with thrombi and calculi formation due to slow blood flow or inflammatory reaction in the head andneck region is rarely encountered. This article presents a 45-year-old man who first visited the Dental Department with the chief complaint of swelling of the mouth floor for one year. An occlusal X-ray film revealed multiple round or ovoid opaque masses in the mouth floor. Thus the patient was referred to the Department of Otolaryngology under the impression of sialolthiasis with sialoadenitis of both submandibular glands. Sialography and CT scanning disclosed, however, normal submandibular glands and patent Wharton’s ducts. Nevertheless, the patient was advised to undergo exploratory surgery. An ill-defined tumor was extirpated from the mouth floor, and the submandibular glands appeared normal. Numerous calculi were embedded in the tumor. The pathologic studies revealed venous hemangioma containing thrombi at various stages of organization and pheboliths. The patient has been well during the 2-year follow-up period. There is no more swelling or presence of phleboliths in the mouth floor. Saliva flow is smooth without stagnation or obstruction.

並列關鍵字

venous hemangioma ； phlebolith