Nagpal A, Suhas S, Ahsan A, Pai Km, Rao Nn
Department of Oral Medicine and Radiology, College of Dental Surgery, Manipal, Karnataka-576104, India.
Dentomaxillofac Radiol. 2005 Mar;34(2):120-5. doi: 10.1259/dmfr/14940087.
Central haemangioma, a "great mimicker" which, fortunately, is a relatively rare condition, may pose a lethal risk for the patient. The diagnosis may become apparent only during biopsy or tooth extraction, which poses a risk of lethal exsanguination; therefore a correct diagnosis is desirable before any biopsy is undertaken. The clinician may not anticipate the severe haemorrhage because of vague clinical history, physical findings and ambiguous radiographic characteristics of the lesion. We report a case of central haemangioma of the mandible whose clinical and radiographic features were equivocal. In addition, an attempt is made to discuss all possible radiographic presentations of central haemangioma and consider differential diagnosis. This case is significant for the reason that it had diverse radiographic appearances in various areas of the lesion in different projections.
中央型血管瘤是一种“极具迷惑性的疾病”，幸运的是，它相对罕见，但可能给患者带来致命风险。该诊断可能仅在活检或拔牙时才会显现，而这会带来致命性大出血的风险；因此，在进行任何活检之前，都需要做出正确诊断。由于病变的临床病史模糊、体格检查结果不明确以及影像学特征不清晰，临床医生可能无法预见到严重出血情况。我们报告一例下颌骨中央型血管瘤病例，其临床和影像学特征不明确。此外，本文还尝试讨论中央型血管瘤所有可能的影像学表现，并考虑进行鉴别诊断。该病例具有重要意义，因为在不同投照下，病变的不同区域呈现出多样的影像学表现。
