Ripp G A, Wendth A J, Vitale P
J Oral Surg. 1977 Sep;35(9):743-5.
A case of thyroid carcinoma metastatic to the mandible is presented. Particular attention has been called to its extremely vascular nature and a recommendation has been made that all lesions of such suspected vascularity should be preoperatively studied by angiography in an effort to provide insight into the nature of the lesion as well as the exact blood supply. With this information, appropriate devascularization either by surgical ligation or intravascular embolization can be performed before biopsy and hence sudden and potentially overwhelming hemorrhage during incisional or excisional surgery can be avoided.
本文报告一例甲状腺癌转移至下颌骨的病例。特别强调了其血管极其丰富的特点,并建议对所有怀疑具有这种血管特征的病变在术前进行血管造影研究,以深入了解病变的性质以及确切的血供情况。有了这些信息,在活检前可通过手术结扎或血管内栓塞进行适当的血管阻断,从而避免在切开或切除手术过程中突然发生且可能难以控制的出血。