Lee Won-Hak, Yoon Jung-Hoon
Department of Oral Pathology, School of Dentistry, Chosun University, 375 Seosuk-dong, Dong-gu, Gwangju 501-759, Korea.
Yonsei Med J. 2003 Aug 30;44(4):723-6. doi: 10.3349/ymj.2003.44.4.723.
A highly vascular tumor of the head and neck, with the exception a true vascular lesion, has rarely been observed. We report a rare case of a large, highly vascular, mucoepidermoid carcinoma (MEC) of the hard palate in a 28-year-old woman. The highly vascular channels were identified by ultrasonography and angiography. This case is noteworthy in that a large, highly vascular tumor of the minor salivary gland simulated a vascular lesion. When preoperative imaging demonstrates large vascular channels, preoperative angiography will benefit surgical management and embolization should be considered if possible.
除真正的血管病变外,头颈部高度血管化的肿瘤很少见。我们报告了一例罕见病例,一名28岁女性的硬腭部出现了一个巨大的、高度血管化的黏液表皮样癌(MEC)。通过超声检查和血管造影发现了高度血管化的通道。该病例值得注意的是,小唾液腺的一个巨大、高度血管化的肿瘤模拟了血管病变。当术前影像学显示有大的血管通道时,术前血管造影将有助于手术管理,如有可能应考虑进行栓塞。