Portal de Periódicos da CAPES

Vascular lesion of the mandible

1984; Elsevier BV; Volume: 42; Issue: 8 Linguagem: Inglês

10.1016/0278-2391(84)90014-4

1531-5053

Philip E. Genet, Mark L. Bernstein, Brian Alpert, Irwin A. Small,

Bone Tumor Diagnosis and Treatments

A 52-year-old white woman presented to the Oral and Maxillofacial Surgery clinic for evaluation of a rapidly growing mass along the right lower edentulous ridge. She feared she might have cancer. The patient had noted the growth three months previously. Two months ago she had come to the clinic but left before being examined by a dentist, frightened at the prospect of undergoing a biopsy. She did. however, have a panoramic radiograph taken. The patient related that she had worn complete dentures for 30 years, but in the last six months retention had become so difficult that she wore the lower denture only in public. The past medical history was significant for a 14-year history of hypertension, for which the patient was currently taking a hydrochlorothiazide diuretic. The patient stated she was allergic to novocaine, having been hospitalized 30 years before with acute facial swelling and rash following dental extractions. The history was otherwise noncontributory. Clinical examination revealed her to be well developed, well nourished. and in no acute distress. There was an apparent swelling below the right commissure of the mouth (Fig. 1). Bidigital palpation of the lip and cheek showed them to be within normal limits. Intraoral examination revealed a 3.0 x 4.0 x 1.0 cm sessile mass along the crest of the edentulous mandibular alveolar ridge in the right canine and premolar area (Fig. 2). There was palpable expansion of the cortical plate labially and superiorly. The overlying mucosa was of normal color, with prominent surface vasculature. There was no ulceration. and the mucosa was not fixed to the underlying mass. The lesion was compressible and pulsatile but without demonstrable thrill or bruit. The patient related no pain in relation to this mass and had no dysesthesia of her lower lip. A new panoramic radiograph was obtained and compared with the previous film. The first film showed a 1.7 x 1.5 cm radiolucency at the superior border of the mandible with cuffing and expansion of the cortical plate superiorly and a 0.7 cm underlying area of radiolucency