Vascular Leiomyoma in the Head and Neck Region: 11 Years Experience in One Institution

윤태미; 양형채; 최유덕; 이동훈; 이준규; 임상철

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자료유형: 학술저널

저자정보: 윤태미 양형채 최유덕 이동훈 이준규 임상철

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제6권 제3호

발행연도: 2013.1

수록면: 171 - 175 (5page)

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Objectives. Vascular leiomyoma is an uncommon benign tumor of smooth muscle origin that arises from the muscularis layer of blood vessel walls. We report our experiences with the clinical manifestations, pathologic characteristics, and management of vascular leiomyoma in the head and neck. Methods. The clinical records of 12 patients with vascular leiomyoma of the head and neck in the 11-year period were reviewed retrospectively. Results. The 12 patients included nine men and three women. The locations of the tumors were variable, including nasal cavity, auricle, hard palate, upper lip, upper eyelid, and supraclavicular space. All but three patients reported an asymptomatic spherical mass; the other three patients complained of intermittent epistaxis or unilateral nasal obstruction resulting from the tumor originating in the nasal cavity. All tumors were painless. Computed tomography consistently revealed a well-defined, intensely enhanced small mass on the mucosa. No case was dignosed corretly as vascular leiomyoma before surgical excision. All patients underwent localized surgical excision of the tumor without recurrence. Five of 12 tumors (42%) were of solid type, four (33%) were of venous type, and three (25%) were of cavernous in histological classification. The histologic type was not related to gender, site of occurrence, and presence of pain. Conclusion. Vascular leiomyoma presents as a small, painless mass in various locations of the head and neck region. Localized surgical excision is the only way to make the diagnosis and yields excellent results.

#Vascular leiomyoma #Diagnosis #Classification

참고문헌 (17)

참고문헌 신청

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Brooks JK / 2002 / Clinicopathologic characterization of oral angioleiomyomas / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94 (2) : 221 ~ 227

Choe KS / 2001 / Angioleiomyoma of the auricle: a rare tumor / Otolaryngol Head Neck Surg 125 (1) : 109 ~ 110

Duhig JT / 1959 / Vascular leiomyoma: a study of sixtyone cases / Arch Pathol 68 : 424 ~ 430

Hachisuga T / 1984 / Angioleiomyoma: a clinicopathologic reappraisal of 562 cases / Cancer 54 (1) : 126 ~ 130