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Submandibular cavernous hemangiomas with multiple phleboliths masquerading as sialolithiasis.
Chih-Chieh Chuang1, Hou-Chun Lin, Chia-Wen Huang
1Division of Otolaryngology, Yang-Ming Branch, Taipei City Hospital, Taipei, Taiwan.
Journal of the Chinese Medical Association : JCMA
|September 29, 2005
Summary
Vasoformative tumors, primarily hemangiomas, are common in infant salivary glands but rare in adult submandibular glands. This case highlights a cavernous hemangioma mimicking sialolithiasis in an adult, requiring surgical consideration.
Area of Science:
- Otolaryngology
- Surgical Pathology
- Head and Neck Surgery
Background:
- Vasoformative tumors, predominantly hemangiomas, are the most frequent salivary gland lesions in infants and children.
- While common in the parotid gland, hemangiomas are exceptionally rare in the submandibular gland.
- Adult salivary gland hemangiomas are typically cavernous variants and do not regress spontaneously.
Observation:
- A rare case of cavernous hemangioma in an adult's submandibular gland is presented.
- The lesion clinically mimicked sialolithiasis, presenting a diagnostic challenge.
- The patient was an adult male with this specific presentation.
Findings:
- Cavernous hemangiomas in adult salivary glands differ histologically from infantile hemangiomas.
- These adult-type hemangiomas often necessitate surgical intervention due to their non-regressive nature.
- Thrombus formation and phleboliths can occur due to altered blood flow dynamics within hemangiomas.
Implications:
- This case underscores the importance of considering cavernous hemangioma in the differential diagnosis of submandibular gland masses, especially when symptoms mimic sialolithiasis.
- Surgeons should be aware of this rare but surgically relevant entity in adults.
- Reviewing the literature aids in understanding the clinical course and management of such rare salivary gland tumors.