Diverse imaging characteristics of a mandibular intraosseous vascular lesion.
Intraosseous vascular lesions of the maxillofacial region are rare, and the differential diagnosis of intraosseous vascular malformations from other jaw lesions can be challenging. In the present case, magnetic resonance imaging and three-dimensional computed tomographic angiography (CTA) was used for diagnosis, and the lesion was treated wih surgical excision. Diverse characteristics such as the "honeycomb" and "sunburst" radiographic appearances and the absence of major peripheral feeder vessels in the CTA were noted. Intraosseous vascular malformations have a varied radiographic appearance, and the nomenclature of these lesions is equally diverse, with several overlapping terms. Pathologists do not generally differentiate among intraosseous vascular lesions on the basis of histopathology, although these lesions may present with contrasting immunohistochemical and clinical behaviors requiring varied treatment strategies. This case report highlights the need for multiple imaging modalities to differentiate among vascular lesions, as well as to better understand the behaviors of these unique lesions.
Department of Oral Medicine and Radiology, Peoples Dental Academy, Bhopal, India.
Hina
H
Handa
Department of Oral Medicine and Radiology, Peoples Dental Academy, Bhopal, India.
Giridhar S
GS
Naidu
Department of Oral Medicine and Radiology, Peoples Dental Academy, Bhopal, India.
Balaji Gandhi Babu
BG
Dara
Department of Oral Medicine and Radiology, Peoples Dental Academy, Bhopal, India.
Ashwini
A
Deshpande
Department of Oral Pathology and Microbiology, Peoples Dental Academy, Bhopal, India.
Raju
R
Raghavendra
Angiography; Magnetic Resonance Imaging; Tomography, X-Ray Computed; Vascular Malformation, Primary Intraosseous