The PHACES syndrome: Multiple episodes of reproliferation of subglottic hemangioma.
This article illustrates a patient who has had multiple episodes of reproliferation of subglottic hemangioma after weaning from propranolol therapy. PMID: 29706817 [PubMed]
We report a case of a 46-year-old men with an incidental finding of an anterior mediastinal tissue mass on chest computed tomography scan. A complete surgical resection of the mass was performed. Histopathological examination concluded to a thymic CH.
ConclusionsThe features presented in this study are more similar to than different from those reported in the literature.
ConclusionsThese lesions particularities knowledge is important for a correct diagnosis and adequate treatment decision.
Treatment of benign lip vascular anomalies can be an aesthetic challenge even though several techniques are available to manage these lesions. A difficult case treated with an association of techniques is presented. A 12-year-old boy with an extensive congenital hemangioma in the upper lip was referred with an aesthetic complaint and past history of treatment failures. Sclerotherapy with 5% ethanolamine oleate was proposed. Intriguingly, after 6 sessions of sclerotherapy, the size and the consistency of the lesion remained almost the same, although some color improvement was observed.
A 7-month-old female infant was sent to the clinic diagnosed by the oncology unit with embryonal rhabdomyosarcoma. The disease was detected at the time of her birth. She showed an increase in volume in the nasolabial region that was treated as a hemangioma without response to treatment. Diagnosis was established through a Tru-Cut (MeritMedical, South Jordan, UT) biopsy and it was confirmed with immunohistochemistry. The treatment was established with chemotherapy, then, she was sent to our clinical unit for assessment and surgical treatment.
Central hemangioma (CH) of the jaws is a rare benign vascular neoplasm of variable radiographic appearance. A 32-year-old man was referred for evaluation of an ulcerated mass on the anterior mandible causing facial asymmetry for the last 6 months. The patient reported progressive growth and bleeding episodes. Intraoral examination revealed an erythematous and necrotic swelling in the lower anterior gingiva. Computerized tomography revealed a well-defined multilocular hypodense lesion involving the mandibular symphysis, containing hyperdense foci, with expansion and destruction of the buccal cortical bone, and teeth displacement and mobility.
The therapeutic use of liquid nitrogen has been used since the 20th century for the treatment of various dermatologic, urologic, gynecologic, and oncologic diseases among others. However, this modality is not widespread in the stomatology specialty. It will be presented with a brief introduction of mechanism of action, equipment, technique, and results obtained in the following oral lesions: salivary gland (mucocele and ranula), reactive lesion (pyogenic granuloma), vascular lesions (varicosities and hemangioma), and viral infection (herpes simplex).
We will report a case of intravascular papillary endothelial hyperplasia, an unusual blood vessel disease occurring in the oral cavity. A female patient, 54 years of age, showed a bluish asymptomatic nodule in the lower lip, measuring 5 mm in diameter. The clinical diagnostic hypotheses were hemangioma or mucocele. An excisional biopsy was performed. The histopathologic examination demonstrated papillary tufts with a central hyaline core lined by a single layer of endothelial cells, which were positive for CD31 staining.
Intramuscular hemangioma (IH) is relatively uncommon, accounting for less than 1% of all hemangiomas, usually located within the skeletal muscles of the trunk or limbs, particularly in the pelvic region. Approximately 10% of IH may occur in the head and neck region, most commonly affecting the masseter, sternocleidomastoid, and trapezius muscles. A 57-year-old man was referred for evaluation of a 4-cm asymptomatic, bluish, and slow-growing swelling of the lower lip. The patient's history included lower lip trauma and bleeding 5 years earlier.
Cowden syndrome (CS) is an autosomal dominant disease with increased risk of breast, thyroid, and endometrial malignant neoplasms as well as mucocutaneous lesions. A 63-year-old woman with previous diagnosis of CS was referred to our oral diagnostic clinic complaining of a painless nodule on the left buccal mucosa with history of trauma. The patient also had a history of multiple facial trichilemmomas, palmoplantar keratosis, gastrointestinal polyps, hemangioma on the left upper limb, liposarcoma in the inframammary region, abdominal dermatofibrosarcoma protuberans, and follicular adenoma in the thyroid.