Cavernous Hemangioma of Submandibular Region with Multiple Phleboliths -A Case Report

下顎部位之海綿狀血管瘤合併多顆靜脈結石－病例報告

賴億珊(Yih-Shan Lai) ； 劉崇基(Chung-Ji Liu)

《臺灣口腔顎面外科學會雜誌》 27卷3期 (2016/09) Pp. 188-198

摘要

成人發生無痛之慢性下頷腫大合併鈣化物之病灶經常臆斷為顎下腺炎合併唾液腺結石，然仍有罕見病例為血管瘤合併靜脈結石。本篇報告一大型海綿狀血管瘤合併靜脈結石位於65歲女性下頷部之案例。治療前進行電腦斷層檢查評估腫瘤及靜脈結石位置範圍以協助診斷。考慮病灶體積甚大，先行血管攝影發現無明顯多血管病灶亦無動靜脈血管畸形，無進行栓塞治療之必要。但腫瘤緩慢增大且合併觸壓疼痛，位置未緊鄰大型血管，無明顯手術禁忌，遂進行手術治療完整切除腫瘤。經仔細剝離病灶及確實止血下未發生出血等嚴重併發症，術後病理診斷為海綿狀血管瘤。病患術後狀況恢復良好，追蹤四個月無復發跡象。

關鍵字

海綿狀血管瘤 ； 下顎腫脹 ； 靜脈結石

並列摘要

A slow-growing, painless submandibular swelling with calcified material of adult usually impresses diagnoses as sialadenitis with sialoliths. However, it can be a hemangioma with phleboliths, although it is rare. We reported a case of a 65-year-old female patient who had been found a large cavernous hemangioma with phleboliths of her submandibular region. Computed tomography (CT) revealed the extent of the mass and phleboliths detection to establish the diagnosis before treatment. Treatment planning is based on tumor location, extent, growth rate, accessibility, patient's age, and esthetics. Surgical excision is performed to remove the hemangioma completely because of no contraindication for operation. Careful dissection was done to avoid massive hemorrhage. The post-operation status of the patient was smooth without severe complication. No evidence of recurrence was found during post-operative follow-up of 4 months.

並列關鍵字

Cavernous hemangioma ； Submandibular swelling ； Phleboliths