Handa Hina, Naidu Giridhar S, Dara Balaji Gandhi Babu, Deshpande Ashwini, Raghavendra Raju
Department of Oral Medicine and Radiology, Peoples Dental Academy, Bhopal, India.
Department of Oral Pathology and Microbiology, Peoples Dental Academy, Bhopal, India.
Imaging Sci Dent. 2014 Mar;44(1):67-73. doi: 10.5624/isd.2014.44.1.67. Epub 2014 Mar 19.
Intraosseous vascular lesions of the maxillofacial region are rare, and the differential diagnosis of intraosseous vascular malformations from other jaw lesions can be challenging. In the present case, magnetic resonance imaging and three-dimensional computed tomographic angiography (CTA) was used for diagnosis, and the lesion was treated wih surgical excision. Diverse characteristics such as the "honeycomb" and "sunburst" radiographic appearances and the absence of major peripheral feeder vessels in the CTA were noted. Intraosseous vascular malformations have a varied radiographic appearance, and the nomenclature of these lesions is equally diverse, with several overlapping terms. Pathologists do not generally differentiate among intraosseous vascular lesions on the basis of histopathology, although these lesions may present with contrasting immunohistochemical and clinical behaviors requiring varied treatment strategies. This case report highlights the need for multiple imaging modalities to differentiate among vascular lesions, as well as to better understand the behaviors of these unique lesions.
颌面部骨内血管性病变较为罕见，鉴别骨内血管畸形与其他颌骨病变具有挑战性。在本病例中，采用磁共振成像和三维计算机断层血管造影（CTA）进行诊断，并通过手术切除对病变进行治疗。注意到病变具有“蜂窝状”和“日光放射状”等多样的影像学表现，且CTA显示无主要的外周供血血管。骨内血管畸形具有多样的影像学表现，这些病变的命名同样多样，存在多个重叠的术语。尽管这些病变可能表现出不同的免疫组化和临床行为，需要采用不同的治疗策略，但病理学家一般不会根据组织病理学对骨内血管性病变进行区分。本病例报告强调了需要多种影像学检查手段来鉴别血管性病变，以及更好地了解这些独特病变的行为特点。
