上顎骨に発生した血友病性偽腫瘍の1例

• Published in: 日本口腔外科学会雑誌 Vol. 64; no. 2; pp. 92 - 97
• Main Authors: 平井, 雄三, 山本, 信祐, 宇佐美, 悠, 谷池, 直樹, 高地, いづみ, 竹信, 俊彦
• Format: Journal Article
• Language: Japanese
• Published: 社団法人 日本口腔外科学会 20.02.2018
• Subjects: 上顎骨; 血友病 A; 血友病性偽腫瘍
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.64.92

We report a case of hemophilic pseudotumor arising in the maxilla of a 46-year-old man with a history of hemophilia A. The initial symptom was painless swelling in the right buccal region. Intraorally, the alveolus was enlarged buccally in the right canine region. A panoramic X-ray film showed a cystlike radiolucent lesion at the apex of the right maxillary canine. Computed tomography showed marked enlargement of the right side of the maxilla and a well-demarcated multilocular radiolucent lesion. A tumor was suspected, and a biopsy was therefore performed during replacement therapy with coagulation factor. The bone cavity contained a hematoma. After the diagnosis of a hemophilic pseudotumor, enucleation was performed. There has been no sign of recurrence in the 3 years after surgery.