Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지

Actinomycosis of Submandibular Gland

악하선에 발생한 방선균증

  • Lee Jin-Ho (Department of Oral and Maxillofacial Radiology, College of Dentistry, Kangnung National University) ;
  • Park In-Woo (Department of Oral and Maxillofacial Radiology, College of Dentistry, Kangnung National University) ;
  • Choi Hang-Moon (Department of Oral and Maxillofacial Radiology and Dental Research Institute, College of Dentistry, Seoul National University) ;
  • Heo Min-Suk (Department of Oral and Maxillofacial Radiology and Dental Research Institute, College of Dentistry, Seoul National University) ;
  • Lee Sam-Sun (Department of Oral and Maxillofacial Radiology and Dental Research Institute, College of Dentistry, Seoul National University)
  • 이진호 (강릉대학교 치과대학 구강악안면방사선학교실) ;
  • 박인우 (강릉대학교 치과대학 구강악안면방사선학교실) ;
  • 최항문 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 허민석 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 이삼선 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소)
  • Published : 2000.06.01
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Abstract

Actinomycosis is defined as a chronic, specific, suppurative, granulomatous disease caused mainly by the anaerobic, gram positive organism, Actinomyces israelii. Actinomycosis in the salivary gland is a rare disease that is caused by an inhabitant of the normal flora. We report the case of the actinomycosis of submandibular gland. A 53-year old man presented with the swelling on left submandiblar area. The lesion was not painful but had been increasing for about 10 days. In the CT view, the internal portion of the mass showed homogeneous moderate signal. The mass had continuities with the inferior portion of the left enlarged submandibular gland. In the MRI, there was a mass that showed a buldging pattern inferiorly in the left submandibular gland without bony invasion sign. The biopsy shows the colony of special organism. Many filaments are discovered with clubbed ends diffused from center of colony. We diagnosed this disease as actinomycosis in the submandibular gland by the postoperational biopsy.

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