Abstract:
A 75-year-old male patient visited Gangneung-Wonju National University Dental Hospital (Gangneung, South Korea) with a 35-mm fluctuant lesion on the floor of the mouth. It was a dome-shaped exophytic lesion with its top on Wharton\'s duct orifice area. The encapsulated lesion was excised cautiously and the final diagnosis was non-infiltrating angiolipoma. To the best of our knowledge, this is the first report of an intraoral approach for the treatment of a non-infiltrating angiolipoma on the floor of the mouth in an elderly patient. Differentiating it from a ranula is essential for the surgical approach and, as there is a higher transition to infiltrating angiolipoma, definite treatment should be considered in elderly patients.
摘要:
一名75岁的男性患者访问了江陵-元州国立大学牙科医院(江陵,韩国)嘴底有35毫米的波动病变。这是一个圆顶形的外生性病变,其顶部位于沃顿的导管孔口区域。小心切除包裹的病变,最终诊断为非浸润性血管脂肪瘤。据我们所知,这是口内方法治疗老年患者口底非浸润性血管脂肪瘤的第一份报告.将其与ranula区分开来对于手术方法至关重要,因为有更高的过渡到浸润性血管脂肪瘤,老年患者应考虑明确治疗。