口腔内多発性血管腫の1例

概要

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Hemangioma occurs frequently in the head and neck region. There are, however, relatively few reports of phleboliths occurring with hemangioma.<BR>This report describes a case of multiple hemangiomas occurring with phleboliths in the oral region. A 45-year-old Japanese man was referred to this clinic with a chief complaint of tumors in the oral cavity. Hemangiomas were found on the bilateral buccal mucosa, tongue, right mandibular gingiva, oral floor and lower lip.<BR>Surgical resection and Laser treatment were applied, and two phleboliths were extirpated. One of these phleboliths was dissected and its cut surface was examined with an X-ray microanalyser. The cut surface was of a stratiform construction in a concentric configuration. Ca, P, Mg, S, Na, O, C, Cl and Al were detected by point analysis. The concentration distributions of Ca and P were almost equal by line analysis.<BR>Postoperatively, round and oval radiopaque shadows were seen on a CT scan at the anterior border of the right masseter, the interior border of the internal pterygoid muscle and the left superior submandibular gland.