There was a firm, bluish swelling in the left parietal region. Intracranial lesions are extremely rare with only 32 cases been reported in the literature.
Therapy in these cases should be planned according to the nature of underlying lesions. No meal time variation in size of swelling was noted and patient did not give history of dryness of mouth.
Multiple intracerebral intravascular papillary endothelial hyperplasia. Local anesthesia with adrenaline was infiltrated at the incision site. Clinical Neuropathology 9, In this article, we discuss the clinical features, histopathological characteristics, and management of IPEH and review the pertinent literature.
Utilizing appropriate imaging modalities helps ascertain the location, proximity to vital structures, and the vascularity of the lesion aiding in diagnosis and surgical treatment planning, the gold standard for diagnosis being histopathological examination.
Noninvasively IPEH has been successfully treated by the beta-adrenergic antagonist nebivolol [ 15 ]. Endoscopic surgery has been used to treat an extensive IPEH of the sinonasal cavity.
Intravascular papillary endothelial hyperplasia radiograph revealing calcifications superimposed over the partially erupted lower right third molar. Case Report A year-old woman presented to the Stomatology service of the Dermatological Institute of Guadalajara for an asymptomatic, unique, nodular lesion of approximately 1 cm in diameter in the right side of the internal mucosa of her cheek.
The pathogenesis of IPEH is poorly understood. The patient had no family history of similar lesions. PA skull view showing the calcific structures in the right cheek region. After the initial skin incision, parotidomasseteric fascia was then incised to gain access to the lesion within masseter muscle; care was taken not to involve any branches of facial nerve and blunt dissection was used.
CD staining can help differentiate IPEH from angiosarcoma since this molecule is overexpressed only in angiosarcoma associated endothelial cells [ 3 ].
CT revealed a well-marginated round to oval iso to hyperdense lesion seen anterior to the right masseter muscle measuring 1. FNAC yielded a thick brown material containing sheets of hemosiderin laden macrophages, many spindle cells, and degenerated erythrocytes.
Many of these affected Hispanic-Americans immigrated to the southwestern USA from northern Mexico and share an identical founder mutation that has not been found among persons with cavernous angiomas who reside in Mexico 8. Soft tissue radiograph of the lesion using puffed cheek technique revealed 3 well-defined radiopaque concentric calcifications which were also visible on posteroanterior skull view and on the panoramic radiograph they were superimposed over the right mandibular third molar region Figures 34and 5.
The skin overlying the swelling was normal with no secondary changes. It is the most common subtype [ 7 ]. The lesion involved the skull vault with evidence of intracranial extension of the lesion. In our case, surgical excision with clear margins was performed and there was no evidence of recurrence at 6-month follow-up.
The clinical and radiological findings are not specific, and the diagnosis is based on the histological examination. Excisional biopsy was performed under general anesthesia employing stringent aseptic conditions and endotracheal intubation. Once the masseter muscle was accessed, it was explored using blunt dissection and the masses of the lesion were localized.
Intracranial tumor-forming papillary endothelial hyperplasia--a case report. Case report and review of the literature. It is usually characterized by red or blue discoloration of the overlying mucosa.
It is vital to precisely diagnose this lesion so that it is neither inadequately nor aggressively managed both of which are crucial to prevent recurrence and morbidity. Alternative mechanisms include a benign endothelial proliferation arising from a thrombus as a variant of angiolymphoid hyperplasia with eosinophilia, a reactive process of endothelial cells induced by blood stasis and perivascular inflammation, and a pseudotumoral lesion caused by endothelial proliferation with papillary formation proceeded by an accumulation of thrombotic material, which serves to facilitate development of the lesion [ 3 ].
Journal of Neurooncology 61, A seemingly rare site, the masseter, was involved in this case. View at Google Scholar S. The prognosis of IPEH is excellent.
Wein, Intravascular Papillary Endothelial Hyperplasia: The right parotid gland was normal in size and architecture Figures 6 a6 band 6 c. The surgical site was checked for any residual bleeding keeping in mind the suspected nature of lesion.
Discussion InEwing described a rare and obscure intravascular endothelioma in the corpus cavernosum. Case Report A year-old female patient reported with a complaint of pain and increased swelling on the right side of the face of 1-week duration.Soft tissue tumors in the upper extremity can present challenging problems.
Intravascular papillary endothelial hyperplasia may be misdiagnosed as. Intravascular papillary endothelial hyperplasia (IPEH) (Masson's tumor) is an unusual benign vascular lesion of the skin and subcutaneous tissue, consisting of papillary formations related to a.
Intravascular papillary endothelial hyperplasia (Masson's tumor) is a benign lesion of the skin and subcutaneous tissue consisting of a reactive proliferation of. We report a rare case of intravascular papillary endothelial hyperplasia (IPEH) of the oral mucosa.
This neoplasm, known as Masson's tumor, is. DIAGNOSIS: Masson's tumor (papillary endothelial hyperplasia) DISCUSSION: Masson's tumor was first described by Pierre Masson in as a lesion in an ulcerated hemorrhoidal vein and in the Intravascular papillary endothelial hyperplasia (also known as "Masson's hemangio-endotheliome vegetant intravasculaire," "Masson's lesion," Specialty: Oncology, rheumatology.Download