Huge central intravascular papillary endothelial hyperplasia of the mandible: a case report and review of the literature
Mirmohammadsadeghi Hassan, Mashhadiabbas Fatemeh, Latifi Fatemeh,
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( Mirmohammadsadeghi Hassan ) - Iran Shahid Beheshti University of Medical Sciences Dental School Department of Oral and Maxillofacial Radiology
( Mashhadiabbas Fatemeh ) - Shahid Beheshti University of Medical Sciences Dental School Department of Oral and Maxillofacial Pathology
( Latifi Fatemeh ) - Shahid Beheshti University of Medical Sciences Dental School Department of Oral and Maxillofacial Surgery
Abstract
Masson¡¯s tumor or intravascular papillary endothelial hyperplasia is an inflammatory soft tissue lesion that rarely occurs in the maxillofacial region and skeletal system. Precise clinical and para-clinical investigation is necessary for the accurate diagnosis and correct treatment of this lesion. This paper presents a massive intravascular papillary endothelial hyperplasia lesion in the bony tissue of the mandible. Histopathology features, clinical appearance, and suitable management are discussed, with a complete review of the literature. The patient underwent composite resection of the lesion as well as reconstruction. No recurrence was observed during 6 years of follow-up. To the best of our knowledge, this is the fourth case of Masson¡¯s tumor in mandibular skeletal tissue, which has unique and distinctive features due to its size and location. A rare occurrence in skeletal tissue, complex clinical presentations, and complicated histopathologic findings present diagnostic challenges for treatment of this lesion.
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Intravascular papillary endothelial hyperplasia; Histopathology; Mandible; Bone
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