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口腔罕见良性肿瘤——腭黏膜毛细血管瘤:病例报告

Rare benign tumours of oral cavity--capillary haemangioma of palatal mucosa: a case report.

作者信息

Açikgöz A, Sakallioglu U, Ozdamar S, Uysal A

机构信息

Ondokuz Mayis University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology, 55139 Kurupelit Samsun, Türkiye.

出版信息

Int J Paediatr Dent. 2000 Jun;10(2):161-5. doi: 10.1046/j.1365-263x.2000.00188.x.

Abstract

Haemangiomas are benign tumours composed of blood vessels, they are probably developmental rather than neoplastic in origin. Haemangiomas are often present at birth but may become more apparent during life. The tumours appear as a flat or raised reddish-blue lesions and are generally solitary. They are occasionally seen on the palatal mucosa. Haemangiomas are classified on the basis of their histological appearance as capillary, mixed, cavernous or a sclerosing variety that tends to undergo fibrosis. Their differential clinical diagnosis is based on appearance. The tumours may be slowly progressive, involving extensive portions of the superficial and deep blood vessels. Function may be affected where development of the lesion is extra-invasive. Colour change on pressure is a common finding with return to the original colour on withdrawal of pressure. The case presented here was referred because of swelling and recurrent periodontal bleeding. The lesion was diagnosed as a capillary haemangioma through histopathology. Although different therapeutic procedures have been reported, in this case surgical excision was carried out under general anaesthesia following hospitalization. Despite their benign origins and behaviour, haemangiomas in the region of oral cavity are always of clinical importance to the dental profession and require appropriate clinical management. Dental practitioners and oral surgeons need to be aware of these lesions because they may pose serious bleeding risks.

摘要

血管瘤是由血管构成的良性肿瘤,其起源可能是发育性的而非肿瘤性的。血管瘤通常在出生时就存在,但在生命过程中可能会变得更加明显。肿瘤表现为扁平或隆起的红蓝色病变,通常为单发。它们偶尔可见于腭黏膜。血管瘤根据其组织学表现可分为毛细血管瘤、混合性血管瘤、海绵状血管瘤或倾向于发生纤维化的硬化型血管瘤。它们的临床鉴别诊断基于外观。肿瘤可能缓慢进展,累及浅表和深部血管的广泛区域。当病变发展为侵袭性时,功能可能会受到影响。压迫时颜色改变是常见现象,压力解除后恢复原色。此处报告的病例因肿胀和复发性牙周出血而就诊。通过组织病理学诊断该病变为毛细血管瘤。尽管已有不同的治疗方法报道,但在此病例中,住院后在全身麻醉下进行了手术切除。尽管血管瘤起源良性且行为良性,但口腔区域的血管瘤对牙科专业始终具有临床重要性,需要进行适当的临床管理。牙科从业者和口腔外科医生需要了解这些病变,因为它们可能带来严重的出血风险。

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