日本口腔科学会雑誌
Online ISSN : 2185-0461
Print ISSN : 0029-0297
ISSN-L : 0029-0297
最新号
選択された号の論文の5件中1~5を表示しています
特別企画記事
症例報告
  • 髙山 峻, 太田 嘉幸, 矢野 浩司, 桝井 敦史, 鵜澤 成一
    2025 年 74 巻 1 号 p. 8-14
    発行日: 2025年
    公開日: 2025/03/31
    ジャーナル 認証あり
    Myopericytoma occurs primarily in the subcutaneous tissues of the peripheral extremities of adults, and only five cases describing myopericytoma of the tongue have been reported in Japan. Here, we report a case of myopericytoma on the right tongue edge, including a review of the literature. A 53-year-old man had been aware of discomfort on the right tongue edge for about 3 months prior to his first consultation, but had not been treated because of no pain. However, when he visited a dental clinic 1 week prior to his first consultation, swelling on the right tongue edge was noted, and he was referred to our hospital. Intraoral findings included a relatively well-defined elastic firm mass measuring 25mm in diameter on the right tongue edge. Histopathological and imaging examinations led to a diagnosis of myopericytoma. Most cases of myopericytoma are cured by surgical resection, and recurrence is rare. Since there have been no cases of recurrence in the previous reports, surgical removal is considered to be the most effective treatment for this disease.
  • 中村 守厳, 松尾 勝久, 安陪 由思, 喜久田 翔伍, 関 直子, 楠川 仁悟
    2025 年 74 巻 1 号 p. 15-22
    発行日: 2025年
    公開日: 2025/03/31
    ジャーナル 認証あり
    It is well known that intramuscular hemangiomas are often accompanied by adipose tissue. However, reports on the presence of adipose tissue in intramuscular hemangiomas originating in the tongue are limited. Here, we present a case of an intramuscular hemangioma of the tongue with adipose tissue. A 33-year-old woman visited our hospital with complaints of tongue swelling and pain on swallowing. The mucosa of the tongue appeared normal in color, but there was significant swelling and tenderness on the dorsal surface. An occlusal X-ray revealed six calculus-like opacities within the tongue, while fat-suppressed T2-weighted MRI showed a diamond-shaped hyperintense lesion measuring 30 × 28 × 30 mm within the tongue muscle, raising suspicion of an intramuscular hemangioma. Contrast-enhanced MRI was performed to assess the lesion’s flow characteristics. The lesion involved the tongue muscle, bilateral pterygoid muscles, right temporal muscle, and the dorsal aspect of the right submandibular gland. These multiple lesions were considered slow-flow venous malformations. The patient wished to become pregnant and was concerned that hormonal changes might exacerbate the tongue hemangioma and cause pain, and so opted for aggressive treatment. A tongue-shortening procedure was performed via a median incision extending from the anterior part of the tongue to ensure adequate exposure. The lesion was excised from within the tongue. Oral intake was resumed on postoperative day 5, and active tongue movement training was initiated. The patient was able to eat normal meals and was discharged on postoperative day 10. Histopathological examination confirmed the diagnosis of an intramuscular hemangioma with mature adipose tissue.
第36回NPO法人日本口腔科学会近畿地方部会
第57回NPO法人日本口腔科学会九州地方部会
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