Department of Oral and Maxillofacial Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2023 Dec 20;48(4):139-143.
The differential diagnosis of a tongue mass containing calcified bodies includes a phlebolith associated with vascular lesions, such as hemangioma and vascular malformation, and diseases such as neoplasm, osseous choristoma and hypercalcemic states, including hyperparathyroidism. The appearance of the calcified bodies on plain radiographs may help to differentiate these entities. Computed tomography, magnetic resonance imaging, and ultrasonography are also useful for differentiating these soft tissue lesions. We report a 40-year-old man with a small mass containing a calcified body in the tip of tongue. The mass was surgically resected and histologically evaluated, confirming the diagnosis of phlebolith. Our case was a rare phlebolith that did not involve a vascular lesion.
舌部含钙化物体积差异的鉴别诊断包括与血管病变相关的静脉石,如血管瘤和血管畸形,以及肿瘤、骨类瘤和高钙血症状态等疾病,包括甲状旁腺功能亢进症。平片上钙化物体的表现可能有助于区分这些实体。计算机断层扫描、磁共振成像和超声检查也有助于区分这些软组织病变。我们报告了一名 40 岁男性,其舌尖有一个含钙化体的小肿块。该肿块被手术切除并进行组织学评估,确诊为静脉石。我们的病例是一种罕见的静脉石,不涉及血管病变。