Marden Franklin A, Calilao Gabriel C, Guzman Grace, Roy Soma Sinha
Department of Radiology, University of Illinois-Chicago, Chicago, Illinois 60612, USA.
Head Neck. 2004 Dec;26(12):1084-8. doi: 10.1002/hed.20124.
An angiomyoma is an uncommon, benign tumor characterized by numerous vascular channels intermixed with bundles of smooth muscle cells. Oral manifestations are quite rare. We describe for the first time the CT, MRI, and angiographic imaging features and successful preoperative endovascular embolization of an angiomyoma of the tongue. The pathologic findings before and after embolization are also described.
A 25-year-old man was seen with a rapidly enlarging tongue mass. Imaging studies revealed the extent and hypervascular nature of this tumor. The diagnosis of angiomyoma was confirmed by histologic examination. Preoperative embolization proved to be helpful in the surgical management of this lesion.
Angiomyoma should be considered in the differential diagnosis of any well-circumscribed, hypervascular, soft tissue tumor in the mouth. In addition, endovascular embolization may be a useful adjunct that facilitates resection.
血管平滑肌瘤是一种罕见的良性肿瘤，其特征是有许多血管通道与平滑肌细胞束相互交织。口腔表现非常罕见。我们首次描述了舌部血管平滑肌瘤的CT、MRI和血管造影成像特征以及术前成功的血管内栓塞治疗。还描述了栓塞前后的病理结果。
一名25岁男性因舌部肿物迅速增大前来就诊。影像学检查显示了该肿瘤的范围和富血管性质。组织学检查证实为血管平滑肌瘤。术前栓塞证明有助于该病变的手术治疗。
对于口腔内任何边界清晰、富血管的软组织肿瘤进行鉴别诊断时都应考虑血管平滑肌瘤。此外，血管内栓塞可能是一种有助于切除的有用辅助手段。
