Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Diverse imaging characteristics of a mandibular intraosseous vascular lesion

  • Handa, Hina (Department of Oral Medicine and Radiology, Peoples Dental Academy) ;
  • Naidu, Giridhar S. (Department of Oral Medicine and Radiology, Peoples Dental Academy) ;
  • Dara, Balaji Gandhi Babu (Department of Oral Medicine and Radiology, Peoples Dental Academy) ;
  • Deshpande, Ashwini (Department of Oral Medicine and Radiology, Peoples Dental Academy) ;
  • Raghavendra, Raju (Department of Oral Pathology and Microbiology, Peoples Dental Academy)
  • Received : 2013.03.11
  • Accepted : 2013.06.22
  • Published : 2014.03.31
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Abstract

Intraosseous vascular lesions of the maxillofacial region are rare, and the differential diagnosis of intraosseous vascular malformations from other jaw lesions can be challenging. In the present case, magnetic resonance imaging and three-dimensional computed tomographic angiography (CTA) was used for diagnosis, and the lesion was treated wih surgical excision. Diverse characteristics such as the "honeycomb" and "sunburst" radiographic appearances and the absence of major peripheral feeder vessels in the CTA were noted. Intraosseous vascular malformations have a varied radiographic appearance, and the nomenclature of these lesions is equally diverse, with several overlapping terms. Pathologists do not generally differentiate among intraosseous vascular lesions on the basis of histopathology, although these lesions may present with contrasting immunohistochemical and clinical behaviors requiring varied treatment strategies. This case report highlights the need for multiple imaging modalities to differentiate among vascular lesions, as well as to better understand the behaviors of these unique lesions.

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References

  1. Zlotogorski A, Buchner A, Kaffe I, Schwartz-Arad D. Radiological features of central haemangioma of the jaws. Dentomaxillofac Radiol 2005; 34: 292-6. https://doi.org/10.1259/dmfr/37705042
  2. Mazroa JA, Elrakhawy MM. What can 3D CT angiography add in evaluation of facial vascular lesions? Egypt J Radiol Nucl Med 2012; 43: 67-75. https://doi.org/10.1016/j.ejrnm.2011.12.004
  3. Aldridge E, Cunningham LL Jr, Gal TJ, Yepes JF, Abadi BJ. Intraosseous venous malformation of the mandible: a review on interdisciplinary differences in diagnostic nomenclature for vascular anomalies in bone and report of a case. J Oral Maxillofac Surg 2012; 70: 331-9. https://doi.org/10.1016/j.joms.2011.03.013
  4. Greene AK, Rogers GF, Mulliken JB. Intraosseous "hemangiomas" are malformations and not tumors. Plast Reconstr Surg 2007; 119: 1949-50. https://doi.org/10.1097/01.prs.0000259768.59590.5a
  5. Asaumi J, Konouchi H, Hisatomi M, Matsuzaki H, Shigehara H, Honda Y, et al. MR features of aneurysmal bone cyst of the mandible and characteristics distinguishing it from other lesions. Eur J Radiol 2003; 45: 108-12. https://doi.org/10.1016/S0720-048X(02)00008-6
  6. Som PM, Curtin HD. Head and neck imaging. 4th ed. St. Louis: Mosby; 2003.
  7. Lowe LH, Marchant TC, Rivard DC, Scherbel AJ. Vascular malformations: classification and terminology the radiologist needs to know. Semin Roentgenol 2012; 47: 106-17. https://doi.org/10.1053/j.ro.2011.11.002
  8. North PE, Waner M, Mizeracki A, Mihm MC Jr. GLUT1: a newly discovered immunohistochemical marker for juvenile hemangiomas. Hum Pathol 2000; 31: 11-22. https://doi.org/10.1016/S0046-8177(00)80192-6
  9. Zhang L, Lin X, Wang W, Zhuang X, Dong J, Qi Z, et al. Circulating level of vascular endothelial growth factor in differentiating hemangioma from vascular malformation patients. Plast Reconstr Surg 2005; 116: 200-4. https://doi.org/10.1097/01.PRS.0000170804.80834.5F
  10. Nagpal A, Suhas S, Ahsan A, Pai K, Rao N. Central haemangioma: variance in radiographic appearance. Dentomaxillofac Radiol 2005; 34: 120-5. https://doi.org/10.1259/dmfr/14940087
  11. Kakimoto N, Tanimoto K, Nishiyama H, Murakami S, Furukawa S, Kreiborg S. CT and MR imaging features of oral and maxillofacial hemangioma and vascular malformation. Eur J Radiol 2005; 55: 108-12. https://doi.org/10.1016/j.ejrad.2004.09.011

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