Galletti C
Arch Stomatol (Napoli). 1988 Dec;29(6):1371-81.
The authors relate on a case of an isolated cavernous haemangioma of the body of the tongue characterized by considerable size. Such neoplasms, usually described within the more extensive chapter of the more common angiomatous lesion of the oral cavity, are relatively rare. The authors describe a personal case discussing the diagnostic spects of such lesion and emphasizing the importance of the arteriography of the carotid artery and the of the selective arteriography of the lingual arteries, especially in considering surgery. Biopsies are not recommended. After discussing the histopathological and clinical aspects of such lesions the Authors emphasize the therapeutic ones. Even though radiotherapy, cryotherapy, laser therapy, medical treatment, injection of sclerosing substances and the selective embolization, of the lingual artery seem to have some efficacy, the authors conclude that surgery in the therapy of choice in the isolated vascular lesions of the body of the tongue.
作者报告了一例舌体孤立性海绵状血管瘤病例,其特点是体积较大。这类肿瘤通常在口腔更常见的血管瘤性病变这一更广泛的章节中描述,相对较为罕见。作者描述了一个个人病例,讨论了这种病变的诊断方面,并强调了颈动脉血管造影和舌动脉选择性血管造影的重要性,特别是在考虑手术时。不建议进行活检。在讨论了此类病变的组织病理学和临床方面后,作者强调了治疗方面。尽管放疗、冷冻疗法、激光疗法、药物治疗、硬化剂注射以及舌动脉选择性栓塞似乎有一定疗效,但作者得出结论,手术是舌体孤立性血管病变的首选治疗方法。