악하선의 해면상 혈관종 2예
Two Cases of Cavernous Hemangioma of the Submandibular Gland
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A cavernous hemangioma of the submandibular gland is extremely rare. Cavernous hemangiomas often contain thrombi or phleboliths, which make it difficult for imaging to differentiate them from sialadenitis with calcification. We present two female patients, I and II, 41 and 16 years of age, respectively. They were referred for recurrent swelling in the submandibular area. A computed tomography scan demonstrated a cystic lesion with contrast enhancing vasculature and multiple nodular calcifications in the submandibular region. After surgical removal of the lesion, histopathological examination showed a cavernous hemangioma with phlebolith. The clinical feature of cavernous hemangioma of submandibular gland shows that repeated painful swelling is not related with eating. Histologically, phleboliths are calcified nodules that can be regarded as a pathognomic feature of a cavernous hemangioma. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:935-7)
Abstract
A cavernous hemangioma of the submandibular gland is extremely rare. Cavernous hemangiomas often contain thrombi or phleboliths, which make it difficult for imaging to differentiate them from sialadenitis with calcification. We present two female patients, I and II, 41 and 16 years of age, respectively. They were referred for recurrent swelling in the submandibular area. A computed tomography scan demonstrated a cystic lesion with contrast enhancing vasculature and multiple nodular calcifications in the submandibular region. After surgical removal of the lesion, histopathological examination showed a cavernous hemangioma with phlebolith. The clinical feature of cavernous hemangioma of submandibular gland shows that repeated painful swelling is not related with eating. Histologically, phleboliths are calcified nodules that can be regarded as a pathognomic feature of a cavernous hemangioma. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:935-7)
참고문헌 (8)
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