Gerardo Gilligan, Juan Cruz Romero Panico, María Fernanda Galindez Costa, Bruno Augusto Benevenuto de Andrade, René Panico
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引用次数: 0
摘要
据报道,静脉结石是血管畸形中出现的钙化现象,与血流动力学变化、血栓形成和随后的钙化有关。锥形束计算机断层扫描(CBCT)等放射学检查有助于显示钙化肿块的存在。一名 45 岁的男性因舌头外侧出现无症状的结节性紫红色病变而转诊至我院。在病变部位,触诊还可发现一个石质肿块。数字牙科 X 光片显示有两个环形不透射线结构。主要诊断假设是与血管畸形有关的静脉结石。患者接受了硬化剂治疗方案,使手术能够进入该区域。手术采用电凝法切除了肿块。组织病理学检查显示,在血管畸形和严重纤维化的背景下出现了静脉结石。
A Peculiar Finding on the Ventrolateral Surface of the Tongue.
Phleboliths are reported as calcifications that occur in vascular malformations, associated with changes in blood flow dynamics, thrombus formation and subsequent calcifications. Radiological examination, such as cone beam computed tomography (CBCT) could help in demonstrating the presence of a calcifiied mass. A 45-year-old male was referred to our service with an asymptomatic nodular purplish lesion located on the ventrolateral tongue. Within the lesion, a stony mass was also evident on palpation. A digital dental radiograph demonstrated two circumscribed radiopaque structures. Phleboliths associated with vascular malformation was the main diagnostic hypothesis. The patient underwent a sclerotherapy protocol allowing surgical accessibility to the area. Phlebolyts were surgically removed using electrocoagulation. Histopathological examination revealed phleboliths in the context of a vascular malformation with intense fibrosis.
期刊介绍:
Head & Neck Pathology presents scholarly papers, reviews and symposia that cover the spectrum of human surgical pathology within the anatomic zones of the oral cavity, sinonasal tract, larynx, hypopharynx, salivary gland, ear and temporal bone, and neck.
The journal publishes rapid developments in new diagnostic criteria, intraoperative consultation, immunohistochemical studies, molecular techniques, genetic analyses, diagnostic aids, experimental pathology, cytology, radiographic imaging, and application of uniform terminology to allow practitioners to continue to maintain and expand their knowledge in the subspecialty of head and neck pathology. Coverage of practical application to daily clinical practice is supported with proceedings and symposia from international societies and academies devoted to this field.
Single-blind peer review
The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.