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Huge central intravascular papillary endothelial hyperplasia of the mandible: a case report and review of the literature

대한구강악안면외과학회지 2019년 45권 4호 p.180 ~ 185
 ( Mirmohammadsadeghi Hassan ) - Iran Shahid Beheshti University of Medical Sciences Dental School Department of Oral and Maxillofacial Radiology

 ( Mashhadiabbas Fatemeh ) - Shahid Beheshti University of Medical Sciences Dental School Department of Oral and Maxillofacial Pathology
 ( Latifi Fatemeh ) - Shahid Beheshti University of Medical Sciences Dental School Department of Oral and Maxillofacial Surgery

Abstract


Masson’s tumor or intravascular papillary endothelial hyperplasia is an inflammatory soft tissue lesion that rarely occurs in the maxillofacial region and skeletal system. Precise clinical and para-clinical investigation is necessary for the accurate diagnosis and correct treatment of this lesion. This paper presents a massive intravascular papillary endothelial hyperplasia lesion in the bony tissue of the mandible. Histopathology features, clinical appearance, and suitable management are discussed, with a complete review of the literature. The patient underwent composite resection of the lesion as well as reconstruction. No recurrence was observed during 6 years of follow-up. To the best of our knowledge, this is the fourth case of Masson’s tumor in mandibular skeletal tissue, which has unique and distinctive features due to its size and location. A rare occurrence in skeletal tissue, complex clinical presentations, and complicated histopathologic findings present diagnostic challenges for treatment of this lesion.

키워드

Intravascular papillary endothelial hyperplasia; Histopathology; Mandible; Bone
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