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作者报道1例发生在右颌下腺区在临床及放射学方面与涎石症相似的海绵状血管瘤。 患者37岁,女性,右颌下腺区反复肿痛5年,近年来肿痛发作更频繁,进食时加重。检查发现右颌下腺区有一直径约5cm的软组织肿块,右颌下腺涎液分泌量较左侧颌下腺少。全景片见右颌下腺区有多发性钙化灶,CT扫描见右倾下腺体增大,虽可见钙化灶但无腺管扩张迹象,初步印象:慢性右倾下腺炎并发涎石症。 手术发现肿物为包围颌下腺及腺体内的血管性病
The authors reported 1 cavernous hemangioma similar to salivary spondylosis in the submandibular gland region, both clinically and radiologically. 37-year-old patient, female, right submandibular gland repeated swelling and pain 5 years in recent years, more frequent episodes of swelling and pain, eating aggravated. Examination found that the right submandibular gland area has a diameter of about 5cm soft tissue mass, submandibular salivary fluid secretion than the left submandibular gland less. Panoramic see the right submandibular gland area has multiple calcifications, CT scan to see the right lower gland enlargement, although visible calcification but no signs of expansion of the duct, the initial impression: Chronic right-sided adenocarcinoma concurrent salivary disease. Surgical findings of the tumor surrounded by the submandibular gland and vascular disease