舌部海綿腔竇狀血管瘤－病例報告及文獻回顧

Cavernous Hemangioma of the Tongue-A Case Report and Review of Literatures

張哲維(Che-Wei Chang) ； 邱國洲(Kuo-Chuo Chiu) ； 王銀來(Yin-Lai Wang) ； 王峙仁(Chih-Jen Wang)

《臺灣口腔顎面外科學會雜誌》 26卷4期 (2015/12) Pp. 293-299

摘要

血管瘤是一種血管擴張造成的良性腫瘤，依據其來源的不同，可細分為微血管性血管瘤、海綿腔竇狀血管瘤及混合型血管瘤；其外觀多呈紫紅色，周圍有突起的小靜脈，腫塊柔軟、有彈性且界限清楚。如發生在舌部的血管瘤需特別留意，因為它們容易因外力造成表面潰瘍或流血，且會影響患者的發音及進食，嚴重時甚至會影響呼吸道的通順。本病例為73歲男性，於左側舌腹處有一腫塊，且開始影響發音及進食，經臨床特徵及理學檢查後診斷為海綿腔竇狀血管瘤，遂安排於全身麻醉下外科切除。病人術後回復情形良好，至今無復發之跡象。本文章並以文獻回顧之方式，分析當今血管瘤鑑別診斷及治療之趨勢。

關鍵字

血管瘤 ； 海綿腔竇狀血管瘤

並列摘要

Hemangiomas are benign tumors of dilated blood vessels. They can be classified into cavernous, capillary, and mixed hemangioma. The lesions are clinically observed as an anemic spot, at times erythematous, or as small cluster of deep red papule. Hemangioma of tongue requires special consideration because of its susceptibility to minor trauma and the consequent bleeding and ulceration, which may lead to dysphagia, dysphonia, and airway problem. Herein we reported a case of cavernous hemangioma in a 73-year-old man with a swelling on the lateral surface of tongue. As a result, the patient underwent surgical excision under general anesthesia. The patient recovered well after the surgery and no recurrence was found. This article also reviewed literature to comprehend current diagnosis and therapeutic management for hemangioma.

並列關鍵字

Hemangioma ； cavernous hemangioma