An Uncommon Great Pretender in Oral Cavity Lesions: The Masson’s Tumor

被引:0
作者
Dafne Gascón
Andrés Rivera
Marc Agea
Raúl Antúnez-Conde
Ángela Sada
Carlos Navarro-Cuéllar
Manuel Tousidonis-Rial
Jose Ignacio Salmerón-Escobar
机构
[1] Gregorio Marañón University General Hospital,Department of Oral and Maxillofacial Surgery
[2] Gregorio Marañón University General Hospital,Department of Plastic an Aesthetic Surgery
来源
Head and Neck Pathology | 2022年 / 16卷
关键词
Oral cancer; Vascular neoplasms; Mouth neoplasm; Lip neoplasms;
D O I
暂无
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学科分类号
摘要
Intravascular papillary endothelial hyperplasia (IPEH) is a rare benign non-neoplastic vascular lesion. A typical presentation consists of a subcutaneous nodule that may simulate other clinical entities. Presentation in the oral cavity is uncommon. It is thought to develop as an abnormal proliferative reaction of endothelial cells in a process of impaired thrombogenesis. When endothelial proliferation occurs, a differential diagnosis with a soft tissue sarcoma, in particular an angiosarcoma, should be performed. We report a case of a 68-year-old female patient who presented with a lesion on the upper lip of 3 months’ duration. Surgical resection revealed an IPEH. 1 year later, the patient showed a local recurrence requiring excision with clear margins. Pathological and immunohistochemical features can help us distinguish these lesions from those requiring more aggressive treatment. The gold standard is surgical resection with clear margins. Accurate preoperative diagnosis is essential to avoid overtreatment. Emphasis should be placed on clinical, radiological and histological studies.
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页码:814 / 817
页数:3
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