Epitheloid hemangioendothelioma of the submandibular region
Philippine Journal of Otolaryngology Head and Neck Surgery
; : 47-50, 2015.
Article
de En
| WPRIM
| ID: wpr-633410
Bibliothèque responsable:
WPRO
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>
Mots clés
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Indice:
WPRIM
Sujet Principal:
Sarcomes
/
Biopsie
/
Viscères
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Immunohistochimie
/
Radiographie
/
Hémangioendothéliome
/
Noeuds lymphatiques
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Mélanome
/
Tumeurs
Type d'étude:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limites du sujet:
Adult
/
Female
/
Humans
langue:
En
Texte intégral:
Philippine Journal of Otolaryngology Head and Neck Surgery
Année:
2015
Type:
Article