Pokala Archana, Devulapally Revath Vyas, Avinash Tejasvi M L, Nedunooru Swathi
Department of Oral Medicine and Radiology, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda, Hyderabad, Telangana, India.
Government Area Hospital, Nampally, Hyderabad, Telangana, India.
Indian J Pathol Microbiol. 2021 Apr-Jun;64(2):334-338. doi: 10.4103/IJPM.IJPM_707_20.
Intraosseous hemangiomas are uncommon, constituting less than 1% of all osseous tumors. The most frequent sites are the calvaria and the vertebral column. The involvement of the facial bones is rare, and if occurs, it can involve maxilla, mandible, nasal bones and zygomatic bone. Zygomatic hemangioma is a benign, slow-growing tumor occurring mostly in adult women. The radiographic findings are diagnostic. Total excision of the tumor with the primary reconstruction of the defect is the preferred treatment modality. Here, we are reporting a case of a 37-year-old woman who presented with a painless hard swelling in the right zygomatic prominence, which was diagnosed as intraosseous hemangioma after the radiological examination because of its characteristic radiological picture. An Excisional biopsy also proved the swelling to be a cavernous hemangioma.
骨内血管瘤并不常见，占所有骨肿瘤的比例不到1%。最常见的部位是颅骨和脊柱。面骨受累罕见，若发生，则可累及上颌骨、下颌骨、鼻骨和颧骨。颧骨血管瘤是一种良性、生长缓慢的肿瘤，多见于成年女性。影像学表现具有诊断意义。肿瘤全切并一期修复缺损是首选的治疗方式。在此，我们报告一例37岁女性患者，其右侧颧骨突出处出现无痛性硬性肿胀，经影像学检查后因其特征性的影像学表现被诊断为骨内血管瘤。切除活检也证实该肿胀为海绵状血管瘤。
