Hemangioma Presenting With Multiple Phleboliths: Case Report with CBCT Findings

Abstract

Hemangiomas are benign tumors of infancy that display a rapid growth phase with endothelial cell proliferation. Phleboliths are calcified thrombi found in veins, venulae and sinusoidal vessels of hemangiomas. In the head and neck, phleboliths nearly always signal the presence of a hemangioma. Hemangioma with multiple phleboliths is described including its features on panoramic radiography and cone beam computed tomography images.

A Case of Phlebolith with Cavernous Hemanjioma of The Head and Neck Region

“…Vasküler malformasyonlar ve flebolitler birlikte görülebilirler 7,8 . Flebolitler, vasküler lezyonlardan en sık hemanjiomlara eşlik eder 5 . Hemanjiomlar en sık çocukluk çağında baş boyun bölgesinde görülen benign vasküler tümörlerdir.…”

“…Baş boyun bölgesinde genellikle bir vasküler malformasyona ya da benign vasküler tümöre eşlik ederler. Eşlik eden lezyon sıklıkla bir hemanjiom iken herhangi bir vasküler lezyon olmaksızın da gelişebilirler [4][5][6] .…”

Hemangioma of Tongue With Multiple Phleboliths Involving Multiple Spaces of the Right Side of the Head and Neck Region: A Case Report Along With the Importance of Specialized Imaging

“…They also occur in normal tissue in spite of normal serum calcium and phosphate levels. Usually, they are varied and of multiple sizes and they are randomly distributed [ 2 ]. A few head and neck hemangioma with phleboliths cases are documented, among which some cases were in the buccal mucosa, 10 cases in the parotid, submandibular, and sublingual glands, one case each was reported in the floor of the mouth, hypopharynx, base of the tongue, and parapharyngeal space, and four in the masseter [ 6 ].…”

“…Phleboliths are diagnosed by standard radiograph, which is an important diagnostic tool, whereas CT, MRI, and ultrasound play an additional important role. CT is useful in the detection of phleboliths and MRI is useful in the detection of vascular lesions [ 2 ].…”

“…They are seen within a few weeks of birth, which rapidly grows and involute over a period [1]. Hemangiomas are characterized by an increase in turnover and proliferation of endothelial cells [2]. Mulliken and Glowacki, in 1982, classified vascular deformities into two major groups: hemangioma and vascular malformations [3].…”