Epitheloid hemangioendothelioma of the submandibular region
Philippine Journal of Otolaryngology Head and Neck Surgery
;
: 47-50, 2015.
Article
in English
| WPRIM
| ID: wpr-633410
ABSTRACT
@#<p style="text-align justify;"><strong>OBJECTIVES:
</strong> To present an uncommon cause for a submandibular mass and review of the literature.<br /><strong>METHODS:
</strong><br /><strong>Design:
</strong> Case Report<br /><strong>Setting:
</strong> Tertiary Government Hospital<br /><strong>Patient</strong> One<br /><strong>RESULTS:
</strong> A 25-year-old lady presented with a painless chronic submandibular swelling. Ultrasound identified a solid mass following which an uncomplicated core biopsy was performed obtaining an accurate pre-operative histopathological diagnosis. Pre-operative arterial embolization of this vascular mass led to a relatively bloodless wide local excision. Radiological imaging for distant metastases was negative.<br /><strong>CONCLUSION:
</strong> Epitheloid Hemangioendothelioma is an uncommon cause for a submandibular mass. A malignant vascular soft tissue tumor with morphologic characteristics similar to carcinomas, melanomas and epitheloid sarcomas, it has a high rate of metastasis and morbidity when it affects the soft tissues and viscera. Immunohistochemistry provides clues to differentiation and recommended treatment consists of a surgical wide local excision with regional lymph node resection. As there are no established standard therapeutic protocols for this disease due to its rarity, an individual case-by-case approach and follow-up needs to be undertaken.</p>
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Index:
WPRIM (Western Pacific)
Main subject:
Sarcoma
/
Biopsy
/
Viscera
/
Immunohistochemistry
/
Radiography
/
Hemangioendothelioma
/
Lymph Nodes
/
Melanoma
/
Neoplasms
Type of study:
Diagnostic study
/
Practice guideline
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Philippine Journal of Otolaryngology Head and Neck Surgery
Year:
2015
Type:
Article
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