Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Vascular leiomyoma of the palate

구개에 발생한 혈관성 평활근종의 보고

  • Kang, Jin-Kyu (Department of orofacial pain and oral medicine, Daejeon Dental Hospital, Wonkwang Dental research institute, Wonkwang University) ;
  • Yoon, Jung-Hoon (Department of Oral & Maxillofacial Pathology, Daejeon Dental Hospital, Wonkwang Bone Regeneration Research Institute, Wonkwang University) ;
  • Shim, Young-Joo (Department of orofacial pain and oral medicine, Daejeon Dental Hospital, Wonkwang Dental research institute, Wonkwang University)
  • 강진규 (원광대학교 치과대학 구강내과학교실 및 원광치의학연구소) ;
  • 윤정훈 (원광대학교 치과대학 대전치과병원 구강병리과 및 원광골재생연구소) ;
  • 심영주 (원광대학교 치과대학 구강내과학교실 및 원광치의학연구소)
  • Received : 2013.04.25
  • Accepted : 2013.05.24
  • Published : 2013.06.30
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Abstract

Leiomyoma is benign neoplasm of smooth muscle, but it is rare in the oral cavity. The most common type of leiomyoma in the oral cavity is vascular leiomyoma. Clinically, vascular leiomyoma usually grows slowly and is generally a small, painless, sessile, firm and superficial nodule like lesion, and the length of time before patients seek medical attention may span months to years. The diagnosis of oral leiomyoma is possible with only histological studies with special stains because there are no specific clinical and radiological signs. We experienced a 53-year-old woman with palatal mass. She underwent surgical excision and the final pathological result confirmed it to be vascular leiomyoma. We report this case with a review of the related literatures.

평활근종(leiomyoma)은 평활근에서 발생하는 양성종양으로, 두경부 영역에서는 흔치 않은 질환이다. 구강내 평활근종의 경우 혈관성 평활근종이 가장 흔하다. 구강내 혈관성 평활근종은 비교적 단단하고, 매끈한 표면을 가지며, 경계가 명확하고, 둥글고 돌출되어 있다. 대부분 무통성으로 느리게 성장하기 때문에 환자가 병원을 찾게 될 때까지 수개월에서 수년이 걸리며, 병력 및 임상검사, 방사선학적으로 특징적인 소견을 나타내지 않아 수술 후 병리조직학적 소견으로만 진단이 가능하다. 본 증례는 구개부에 연성종양을 주소로 내원한 53세의 여자 환자에서 종양 적출술을 시행, 병리조직학적으로 혈관성 평활근종으로 확진된 1예를 문헌고찰과 함께 보고한다.

Keywords

References

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