頬部に生じた表在性血管粘液腫の1例

  • 石川 詔子
    愛媛大学大学院医学系研究科口腔顎顔面外科学分野
  • 住田 知樹
    九州大学大学院歯学研究院口腔顎顔面病態学講座口腔外科顔面外科学分野
  • 田野 智之
    公立学校共済組合中国中央病院歯科口腔外科
  • 村瀬 隆一
    愛媛大学大学院医学系研究科口腔顎顔面外科学分野
  • 浜川 裕之
    愛媛大学大学院医学系研究科口腔顎顔面外科学分野

書誌事項

タイトル別名
  • A case of superficial angiomyxoma of the cheek region
  • 頰部に生じた表在性血管粘液腫の1例
  • ホオブ ニ ショウジタ ヒョウザイセイ ケッカン ネンエキ シュ ノ 1レイ

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Superficial angiomyxoma is an unusual benign tumor that develops between the dermis and subcutaneous adipose tissue and originates from fibroblasts. We report a case of superficial angiomyxoma in the cheek region. The patient was a 44-year-old man who had noticed a cheek mass 4 years earlier but had not received treatment. The mass grew gradually, and the patient was thus referred to our hospital for surgical treatment. At the first visit, the patient's face appeared asymmetrical because of the nipple-shaped mass in the right cheek region. A biopsy did not provide an accurate pathological diagnosis. With a suspected diagnosis of benign buccal tumor, an operation was performed under general anesthesia. The excised specimen consisted of multiple globular clusters and had a smooth surface. Microscopic examination showed that the mucous component comprised spindle-shaped cells and fibrous tissue containing blood capillaries. Immunohistochemical analysis showed that the tumor cells were positive for CD34 and Factor XIIIa and negative for α-smooth muscle actin and S-100. The MIB-1 index was less than 1%. These results led to a final diagnosis of superficial angiomyxoma. The patient has not shown any sign of tumor recurrence to date (4 years after surgery).

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