하악하 침샘의 결석으로 오인된 정맥돌을 동반한 심부 혈관종 1예
Hemangioma with Phleboliths, Misdiagnosed as Sialoliths in Submandibular Gland
이상훈, 이기석, 조영업, 김경래,
소속 상세정보
이상훈 ( Lee Sang-Hoon )
인하대학교 의과대학 외과학교실
이기석 ( Lee Ki-Seog )
인하대학교 의과대학 외과학교실
조영업 ( Cho Young-Up )
인하대학교 의과대학 외과학교실
김경래 ( Kim Kyung-Rae )
인하대학교 의과대학 외과학교실
KMID : 0371320020630020160
Abstract
Hemangiomas are relatively common benign lesions in head and neck, and are easily diagnosed when they present as cutaneous lesions. However, when a vascular lesion is located within the deeper tissues without a cutaneous component, it results in a
large
differential diagnosis and sometimes is misdiagnosed even using modern imaging studies. In certain instances, simple radiographic studies may be helpful in diagnosis. Hemangioma in the submandibular gland is extremely rare and when it has
phleboliths
within it, it is easily confused with calculis in the salivary gland. Recently we experienced one such case. The 63-years-old man complained of a painful bulging mass without cutaneous lesions in the right submandibular area, which had occurred in
2 or
3 times over a 2 year periods. Plain skull films revealed two radioopaque densities in submandibular area and ultrasonography revealed similar findings. Preoperatively he was thought to have sialoliths of a submandibular gland, but it was confirmed
as a
hemangioma with phleboliths after the operation.
키워드
정맥돌; 혈관종; 침샘결석; Phlebolith; Hemangioma; Sialolith;
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