Lescura Carlos M, de Andrade Bruno A B, Bezerra Kelly T, Agostini Michelle, Ankha Milagros V A, de Castro Felix, Carvalho Yasmin R, Romañach Mário J, Anbinder Ana Lia
Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, Brazil.
Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
J Cutan Pathol. 2019 Aug;46(8):603-608. doi: 10.1111/cup.13482. Epub 2019 May 9.
Intramuscular hemangioma (IMH) represents less than 1% of all hemangiomas. In the head and neck region, it occurs mostly in the masseter, temporalis and sternocleidomastoid muscles. Despite its infiltrative growth pattern and several worrisome histological features, such as increased mitotic activity, plumpness of the nuclei, intraluminal papillary projections or perineural infiltration, the lesion is benign, and complete surgical excision is the preferred treatment for such oral lesions. Herein, we report three rare cases of IMH in the tongue and lip, discuss the clinical and histological aspects, and review the literature regarding this lesion.
肌内血管瘤(IMH)占所有血管瘤的比例不到1%。在头颈部区域,它主要发生在咬肌、颞肌和胸锁乳突肌。尽管其生长方式呈浸润性,且有一些令人担忧的组织学特征,如有丝分裂活性增加、细胞核饱满、管腔内乳头状突起或神经周围浸润,但该病变是良性的,对于此类口腔病变,完整手术切除是首选治疗方法。在此,我们报告3例罕见的舌部和唇部肌内血管瘤病例,讨论其临床和组织学方面,并复习有关该病变的文献。