Elif Bilgir, Derya Yildirim, Gulperi Kocer, Sevgi Bozova
PhD, Research Assistant; Suleyman Demirel University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Isparta, Turkey.
DDS, PhD, Associated Professor; Suleyman Demirel University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Isparta, Turkey.
J Clin Exp Dent. 2017 Jan 1;9(1):e153-e156. doi: 10.4317/jced.52864. eCollection 2017 Jan.
Intraosseous vascular lesions are rare conditions. They are most commonly seen in the vertebral column and skull; nevertheless, the mandible is a quite rare location. In this report, we present a case of intraosseous cavernous hemangioma in the mandible and discuss the clinical and radiological features. A 28-year-old male patient attended to our clinic with a complaint of painless swelling of mandible. Clinical evaluation revealed a bone-hard, smooth-surfaced, immobile mass in the left mandibular lingual area. The patient was evaluated with panoramic and occlusal radiography and computed tomography. The lesion surgically excised and pathological examination revealed an intraosseous cavernous hemangioma. Follow-up imaging 1 year later with cone beam computed tomography revealed recurrence of the lesion. The conclusion of this paper; when a bone hard, well-shaped mass was seen in the mandible, the possibility of intraosseous hemangioma must be remembered and before surgical procedure detailed radiographic evaluation should be performed. Hemangioma, intraosseous, mandible, cavernous, cbct.
骨内血管性病变较为罕见。它们最常见于脊柱和颅骨；然而，下颌骨是一个相当罕见的发病部位。在本报告中，我们呈现了一例下颌骨骨内海绵状血管瘤病例，并讨论其临床和放射学特征。一名28岁男性患者因下颌骨无痛性肿胀前来我院就诊。临床评估发现左侧下颌舌侧区域有一个质地坚硬、表面光滑、固定不动的肿块。对该患者进行了全景片、咬合片及计算机断层扫描检查。病变经手术切除，病理检查显示为骨内海绵状血管瘤。1年后采用锥形束计算机断层扫描进行随访成像，发现病变复发。本文结论：当下颌骨出现质地坚硬、形态规整的肿块时，必须考虑骨内血管瘤的可能性，在手术前应进行详细的影像学评估。血管瘤，骨内，下颌骨，海绵状，锥形束计算机断层扫描
