A CASE OF CAVERNOUS HAEMANGIOMA OF SUB MANDIBULAR SALIVARY GLAND IN ADULT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 16
Abstract
PRESENTATION OF CASE A 48-year-old male presented to the surgical OPD with complaints of swelling in the right submandibular region for 2 months. Swelling is gradual in onset, progressive in nature, with no history of increase in size with mastication. On examination, a swelling of 2*1 cms is felt in the right submandibular region, which was firm in consistency and smooth surfaced. Oral cavity examination was normal. No other swellings were palpable in the neck. Ultrasonography reported lobular heterogeneous, hypoechoic lesion in right submandibular region. Contrast enhanced computed tomography (CECT) of neck showed a well-defined homogeneous nodular lesion of size 2.6*1.3 cms with no internal necrosis with multiple calcifications (Fig. 1, 2) in the region of right sub mandibular gland. A preoperative fine needle aspiration showed features suggestive of reactive lymph node. Patient is planned for a surgical excision with a wearing diagnosis of submandibular lymphadenitis. Intraoperatively a smooth, spongy, mass with a feeding artery at the base is seen in the region of submandibular gland replacing it, feeding artery was ligated and cut and the swelling is excised in full (Fig. 3, 4). Post-operative histopathology of the specimen revealed a benign vascular neoplasm composed of multiple dilated cavernous spaces lined by flattened endothelial cells filled with RBC (Fig 5), many vessels show thrombi and few secondary calcifications, features suggestive of a cavernous haemangioma with secondary changes seen arising from the submandibular gland.
Authors and Affiliations
Pradeep Balineni, Vijai R, Saravana Sundaram S. N, Shruthi Kamal V
Keywords
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- EP ID EP611999
- DOI 10.14260/jemds/2019/300
- Views 88
- Downloads 0
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