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Huge central intravascular papillary endothelial hyperplasia of the mandible: a case report and review of the literature

  • Mirmohammadsadeghi, Hassan (Department of Oral and Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences) ;
  • Mashhadiabbas, Fatemeh (Department of Oral and Maxillofacial Pathology, Dental School, Shahid Beheshti University of Medical Sciences) ;
  • Latifi, Fatemeh (Department of Oral and Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences)
  • Received : 2018.10.22
  • Accepted : 2018.12.20
  • Published : 2019.08.31

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.

Keywords

References

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