Retiform hemangioendothelioma in the infratemporal fossa and buccal area: a case report and literature review
김일규, 조현영, 정범상, 배상필, 조현우, 서지훈, 박승훈,
소속 상세정보
김일규 ( Kim Il-Kyu ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
조현영 ( Cho Hyun-Young ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
정범상 ( Jung Bum-Sang ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
배상필 ( Pae Sang-Pill ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
조현우 ( Cho Hyun-Woo ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
서지훈 ( Seo Ji-Hoon ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
박승훈 ( Park Seung-Hoon ) - Catholic Kwandong University International St. Mary’s Hospital Department of Oral and Maxillofacial Surgery
KMID : 0355620160420050307
Abstract
We report a case of retiform hemangioendothelioma (RH) located in the infratemporal fossa and buccal area in a 13-year-old Korean boy. The tumor originated from the sphenoid bone of the infratemporal fossa area and spread into the cavernous sinus, orbital apex, and retro-nasal area with bone destruction of the pterygoid process. Tumor resection was conducted via Le Fort I osteotomy and partial maxillectomy to approach the infratemporal fossa and retro-nasal area. The diagnosis of RH was confirmed after surgery. In the presented patient, surgical excision was incomplete, and close follow-up was performed. There was no evidence of expansion or metastasis of the residual tumor in the 8 years after surgery. In cases of residual RH with low likelihood of expansion and metastasis, even though RH is an intermediate malignancy, close follow-up can be the appropriate treatment choice over additional aggressive therapy. To date, 29 papers and 48 RH cases have been reported, including this case. This case is the second reported RH case presenting as primary bone tumor and the first case originating in the oromaxillofacial area.
키워드
Retiform hemangioendothelioma; Infratemporal fossa; Le Fort osteotomy; Residual neoplasm
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