DİLDE MASSON HEMANJİOMA

Öz

İntravasküler papiller endotelyal hiperplazi (Masson hemanjioma) nadir görülen, normal kan damarları veya vasküler malformasyonlarda, endotel hücrelerin aşırı proliferasyonunun yol açtığı vasküler kaynaklı benign bir lezyondur. Anjiosarkom ile karışabilir. Masson tümörü vücudun herhangi bir bölgesindeki kan damarlarında görülebilir, fakat çoğunlukla cilt ve ciltaltı dokusunda görülür. Oral kavitede Masson tümörü çok nadir bir durumdur. Onüç yaşında bayan hasta dilde kitle şikâyeti ile polikliniğimize başvurdu. Dildeki bu lezyon 1 yıldır mevcuttu. Hastanın oral muayenesinde dil sağ lateralinde yaklaşık 1x1 cm’lik yüzeyden kabarık, mavi renkli, yumuşak kıvamda bir kitle görüldü. Total olarak eksize edilen kitlenin, histopatolojik inceleme sonucu Masson hemanjioma olarak rapor edildi. Bu olguyu dilde Masson hemanjiomanın nadir görülmesi ve oral kavite kitlelerinin ayırıcı tanısında düşünülmesi gerektiği nedeniyle sunduk.

Anahtar Kelimeler

• Dil,intravasküler papiller endotelyal hiperplazi,Masson tümör

Masson’s Hemangioma of Tongue

Öz

Intravascular papillary endothelial hyperplasia (Masson's hemangioma) is an unusual benign vascular lesion, caused by excessive proliferation of endothelial cells in normal blood vessels or vascular malformations. It can be misdiagnosed with angiosarcoma. Masson's tumor can be seen in any blood vessel in the body, but most often occurs in the skin and subcutaneous tissue. Masson tumor in the oral cavity is a very rare condition. A thirteen-year-old female patient was admitted to our clinic with the complaint of mass lesion of the tongue. This lesion of the tongue was present for 1 year. A vegetating, blue colored, soft, approximately 1x1 cm mass lesion in the right lateral surface of the tongue was seen in the oral examination of the patient. Mass lesion was excised totally and histopathologic examination was reported as Masson's hemangioma. In this case report we presented a rare lesion of Masson's hemangioma which should be considered in the differential diagnosis of oral cavity masses. 

Anahtar Kelimeler

• Intravascular papillary endothelial hyperplasia,Masson tumor,tongue

Kaynakça

1. 1. Duong DH, Scoones DJ, Bates D, Sengupta RP. Multiple intracerebra lintravascular papillary endothelial hyperplasia. Acta Neurochir. 1997; 139(9): 883-6.
2. 2. Kristof RA, Van Roost D, Wolf HK, Schramm J. Intravascular papillary endothelial hyperplasia of the sellar region. Report of three cases and review of the literature. J Neurosurg. 1997; 86 (3): 558-63.
3. 3. Lesley WS, Kupsky WJ, Guthikonda M. İntravascular papillary endothelial hyperplasia arising within a posteroinferior cerebeller artery aneurysm; Case report and review of the literature. Neurosurgery. 2000; 47(4): 961-6.
4. 4. Avellino AM, Grant GA, Harris AB, Wallace SK, Shaw CM. Recurrent intracranial Masson's vegetant intravascular hemangioendothelioma. Case report and review of the literature. J Neurosurg. 1999; 91 (2): 308-12.
5. 5. Moon WS, Chung GH, Hong KH. Intravascular papillary endothelial hyperplasia in a vascular lesion of the paranasal sinus. Arch Pathol Lab Med. 2000; 124 (8): 1224-7.
6. 6. Taricco MA, Vieira JO Jr, Machado AG, Ito FY. Intravascular papillary endothelial hyperplasia causing cauda equinacompression; Case report. Neurosurgery. 1999; 45 (6): 1478-80.
7. 7. Wen DY, Hardten DR, Wirtschafter JD, Sung JH, Haines SJ. Elevated intracranial pressure from cerebral venous obstruction by Masson's vegetant intravascular hemangioendothelioma. Case report. J Neurosurg. 1991; 75(5): 787-90.
8. 8. Gökten M, Üzen E, Çakalağaoğlu H. IPEH: Bir Olgu ve Ayırıcı Tanı. Turk J Pathol. 1993; 9(1): 75- 7.

9. 9. Buchner A, Merrell PW, Carpenter WM, Leider AS. Oral intravasküler papiller endotelyal hiperplazi. J Oral Pathol Med. 1990; 19(9) :419-22.
10. 10. Soares AB, Altemani A, Furuse C, et al. Intravascular papillary endothelial hyperplasia: report of 2 cases and immunohistochemical study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(5): 708-11