Matiakis Apostolos, Karakostas Panagiotis, Pavlou Achilleia-Maria, Anagnostou Eleftherios, Poulopoulos Athanasios
Department of Oral Medicine and Pathology, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
J Korean Assoc Oral Maxillofac Surg. 2018 Jun;44(3):136-139. doi: 10.5125/jkaoms.2018.44.3.136. Epub 2018 Jun 26.
This study presents a case of an oral angioleiomyoma along with its clinical diagnostic approach and laboratory confirmation. The differential diagnosis, especially from angioleiomyosarcoma, is also included. A 51-year-old patient presented with a tumor-like lesion on his upper labial mucosa. The clinical examination revealed a benign lesion that was surgically removed. Histopathological and immunohistochemical examinations confirmed the diagnosis of an oral angioleiomyoma. The post-surgical period was uneventful. No recurrence had occurred after a year of follow-up surveillance. Oral angioleiomyoma is a very rarely occurring oral lesion. Clinically, it may mimic some benign lesions, including fibroma, pyogenic granuloma or minor salivary gland tumor. Surgical excision is the treatment of choice. Histological and immunohistochemical examination can confirm the diagnosis. The differential diagnosis is crucial to rule out angioleiomyosarcoma.
本研究报告了一例口腔血管平滑肌瘤病例及其临床诊断方法和实验室确诊情况。文中还包括了鉴别诊断，特别是与血管平滑肌肉瘤的鉴别。一名51岁患者上唇黏膜出现肿瘤样病变。临床检查显示为良性病变，遂进行手术切除。组织病理学和免疫组织化学检查确诊为口腔血管平滑肌瘤。术后恢复顺利。随访一年未出现复发。口腔血管平滑肌瘤是一种非常罕见的口腔病变。临床上，它可能类似一些良性病变，包括纤维瘤、化脓性肉芽肿或小涎腺肿瘤。手术切除是首选治疗方法。组织学和免疫组织化学检查可确诊。鉴别诊断对于排除血管平滑肌肉瘤至关重要。
