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Oral Radiology

, Volume 35, Issue 2, pp 194–197 | Cite as

A case of venous malformation of the mandible

  • Shintaro OkuraEmail author
  • Chinami Igarashi
  • Satsuki Wakae-Morita
  • Takashi Ichiko
  • Hirokazu Ito
  • Masashi Sugisaki
  • Toru Sato
  • Kaoru Kobayashi
Case Report

Abstract

Objective

Vascular malformations occur more rarely in bones than in soft tissue, with 0.5–1.0% of all intraosseous tumors occurring in the mandible. We report a diagnostically challenging case of unilocular venous malformation of the mandible.

Case report

A 76-year-old man presented with a heterogeneous, unilocular, radiolucent lesion with a well-defined border. Panoramic radiography and computed tomography imaging revealed a continuous white line on the cortical bone at the inferior border of the left mandibular molar region. A spherical lesion with a well-defined border and a clear round region in the left mandible were revealed on magnetic resonance imaging. The lesion had the same signal intensity as muscles on T1-weighted imaging, a homogeneous high-intensity signal on short T1-inversion recovery imaging, and a well-defined low-signal intensity region surrounded by a high-intensity signal region on T2-weighted imaging. Pathological findings indicated that the lesion was a venous malformation.

Discussion

Although many studies have reported that venous malformations have a multilocular appearance, few have described the occurrence of unilocular lesions. Future investigations using magnetic resonance imaging and computed tomography are needed to increase the diagnostic accuracy for unilocular central vascular malformations of the jaw bone.

Keywords

Venous malformation Hemangioma Mandible Vascular malformation Cavernous hemangioma 

Notes

Acknowledgements

The authors thank Yumi Ito (Department of Diagnostic Pathology, Tsurumi University Dental Hospital), who offered valuable advice during the histopathological diagnosis.

Compliance with ethical standards

Ethical statement

We obtained consent from the patient in this case report. This case report was approved by the Tsurumi University ethics committee (no. 1602).

Informed consent

The patient described in this report provided informed consent for publication of anonymized case details.

Conflict of interest

Shintaro Okura, Chinami Igarashi, Satsuki Wakae-Morita, Takashi Ichiko, Hirokazu Ito, Masashi Sugisaki, Toru Sato, and Kaoru Kobayashi declare that they have no conflict of interest.

Animal rights statement

This article does not contain any studies with animal subjects performed by any of the authors.

References

  1. 1.
    The Japanese Society of Interventional Radiology (JSIR). ISSVA classification of vascular anomalies 2013. http://www.jsir.or.jp/blog/2015/02/26/vascular/. Accessed 20 Aug 2016.
  2. 2.
    Naikmasur VG, Sattur AP, Burde K, Nandimath KR, Thakur AR. Central hemangioma of the mandible: role of imaging in evaluation. Oral Radiol. 2010;26:46–51.CrossRefGoogle Scholar
  3. 3.
    Alves S, Junqueira JL, de Oliveira EM, Pieri SS, de Magalhães MH, Dos Santos Pinto D Jr, et al. Condylar hemangioma: report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:23–7.CrossRefGoogle Scholar
  4. 4.
    Dhiman NK, Jaiswara C, Kumar N, Patne SC, Pandey A, Verma V. Central cavernous hemangioma of mandible: case report and review of literature. Natl J Maxillofac Surg. 2015;6:209–13.CrossRefGoogle Scholar
  5. 5.
    Beziat JL, Marcelino JP, Bascoulergue Y, Vitrey D. Central vascular malformation of the mandible: a case report. J Oral Maxillofac Surg. 1997;55:415–9.CrossRefGoogle Scholar
  6. 6.
    Balan P, Gogineni SB, Shetty SR, Areekat FK. Radiologic features of intraosseous hemangioma: a diagnostic challenge. Arch Med Health Sci. 2014;2:67–70.CrossRefGoogle Scholar
  7. 7.
    Kawai T, Tatematsu M, Yamada Y, Eguchi T, Kataura T, Kishimoto G, et al. Intraosseous hemangioma of the mandible: report of a case. Jpn J Oral Maxillofac Surg. 1976;22:373–81.CrossRefGoogle Scholar
  8. 8.
    Jinbu Y, Akasaka Y, Numao A, Kimura Y, Naito H, Ohashi K. Two cases of arteriovenous malformation (AVM) in the maxillofacial region. Jpn J Oral Maxillofac Surg. 1998;44:526–8.CrossRefGoogle Scholar
  9. 9.
    White SC, Pharoah MJ. Benign tumors of the jaws. In: White SC, Pharoah MJ, editors. Oral radiology: principles and interpretation. 6th ed. St. Louis: Mosby and Elsevier; 2009. pp. 395–6.Google Scholar
  10. 10.
    Zlotogorski A, Buchner A, Kaffe I, Schwartz-Arad D. Radiological features of central hemangioma of the jaws. Dentomaxillofac Radiol. 2005;34:292–6.CrossRefGoogle Scholar

Copyright information

© Japanese Society for Oral and Maxillofacial Radiology and Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial Radiology and Diagnosis, School of Dental MedicineTsurumi UniversityYokohamaJapan
  2. 2.Department of Oral Medicine and Stomatology, School of Dental MedicineTsurumi UniversityYokohamaJapan

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