Shetty Sujeeth Kumar, Kale Revati
Department of Oral and Maxillofacial Surgery, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India.
Ann Maxillofac Surg. 2024 Jan-Jun;14(1):102-105. doi: 10.4103/ams.ams_217_23. Epub 2024 Apr 9.
Haemangiomas are benign vascular malformations. They are common neoplasms of infancy but seldom manifest at birth. Although common in the head & neck region, they are rare in the submandibular region. Despite being benign, surgical treatment is necessary if it causes significant functional or aesthetic compromise.
The patient's primary complaint was swelling in the submandibular region.
Initial examination and imaging studies were suggestive of sialolithiasis due to the presence of multiple calcifications. Ultrasonographic and magnetic resonance imaging were suggestive of haemangioma with multiple phleboliths.
Excisional biopsy was done without compromising the submandibular gland. A histopathological examination was done post-operatively to confirm the diagnosis.
Post-operative recovery was uneventful and 6-month follow-up showed no recurrence.
TAKE-AWAY LESSON: This case highlights the importance of considering haemangioma in the differential diagnosis of submandibular region masses and emphasises the preservation of the submandibular gland when the extent of the lesion permits.
血管瘤是良性血管畸形。它们是婴儿期常见的肿瘤，但很少在出生时就表现出来。虽然在头颈部区域很常见，但在下颌下区域却很少见。尽管是良性的，但如果它导致明显的功能或美观受损，则需要进行手术治疗。
患者的主要诉求是下颌下区域肿胀。
初步检查和影像学研究因存在多处钙化提示涎石病。超声和磁共振成像提示为伴有多个静脉石的血管瘤。
在不损伤下颌下腺的情况下进行了切除活检。术后进行了组织病理学检查以确诊。
术后恢复顺利，6个月随访未发现复发。
本病例突出了在鉴别诊断下颌下区域肿块时考虑血管瘤的重要性，并强调在病变范围允许时保留下颌下腺。
