High‐resolution color Doppler ultrasound of a caliber‐persistent artery of the lip, a simulator variant of dermatologic disease: case report and sonographic findings

Wortsman, Ximena; Calderón, Perla; Arellano, Javier; Orellana, Yessenia

doi:10.1111/j.1365-4632.2009.04079.x

Cited by 20 publications

(10 citation statements)

References 15 publications

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“…The use of the Doppler system was essential for evaluation of the diseases of vascular origin, since it determines the origin of the flow in the lesion (arterial or venous), as well as its velocity (cm/ s). The examination allows a direct visualization of this alteration in real time, without the need of intravenous contrast agents [18,19].…”

Section: Discussionmentioning

confidence: 99%

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Martins

Salum

Cherubini

et al. 2014

J. Maxillofac. Oral Surg.

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Objective The aim of this study was to evaluate the contribution of ultrasonography in the establishment of the diagnosis of nonspecific nodular lesions of the oral soft tissues. We determined the indication of use and reliability of ultrasonography in the field of dentistry, considering whether it was of value in the conclusive diagnosis of these pathologies. Materials and Methods We recruited 65 patients from the Oral Medicine Unit of São Lucas Hospital, who had submucosal and subcutaneous nodules, without established diagnosis. They were subjected to ultrasonography of the lesion, carried out with standardization of the protocol and equipment, utilizing a Doppler system. The ultrasonographic report was prepared by an experienced professional, noting the imaging characteristics as well as the possibility of diagnosis. Two calibrated examiners analyzed the data, comparing the ultrasonographic report with the final diagnosis. Accordingly, we used established scoring, where zero corresponded to no contribution to the final diagnosis, 1 helped in the management of the case, and 2 when imaging determined the diagnosis. Results A zero score was obtained for 12.3 % of the examinations performed, and 1 and 2 accounted for respectively 41.5 and 46.1 %, totaling a contribution of about 88 %. Ultrasonography was of value in the diagnosis of vascular lesions in 93.3 % and of neoplasms in 87.5 %. In the salivary gland diseases, it contributed to the final diagnosis in 75 %. Conclusion The results demonstrated that ultrasonography is an effective tool in the determination of the definitive diagnosis of nonspecific nodular lesions of the soft tissues of the oral and maxillofacial region.

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Section: Discussionmentioning

confidence: 99%

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Martins

Salum

Cherubini

et al. 2014

J. Maxillofac. Oral Surg.

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“…High‐resolution colour Doppler ultrasound is a reliable non‐invasive imaging tool for the diagnosis of calibre persistent artery of the lip and provides the chance to avoid unnecessary surgical procedures. This real‐time imaging technique allows direct visualization of the lesion, assessing its exact location and diameter at every axis, as well as the blood flow velocity 9 …”

Section: Discussionmentioning

confidence: 99%

“…Common differentials diagnoses for a calibre persistent artery include other vascular and non‐vascular lesions such as: haemangioma of infancy; pseudoaneurysm; varicose vein; mucocele; irritative fibroma; and sclerosing sialoadenitis 8 . Importantly, a calibre persistent artery of the lip may mimic other soft tissue tumours, including a nodular type of basal cell carcinoma in adults 9 . Pulsation, is a key sign in the physical examination that helps to assess the diagnosis of a calibre persistent artery of the lip, although it should be confirmed with other tests such as colour Doppler ultrasound 10 …”

Section: Discussionmentioning

confidence: 99%

Early diagnosis of a calibre persistent labial artery in a child: Usefulness of ultrasonography

2010

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Calibre persistent labial artery is a vascular lesion in which a large diameter artery penetrates the submucosal tissue of the lip and continues without division or decreasing its size. Usually, a calibre persistent artery of the lip presents as a pulsatile papule and is easily misdiagnosed. Although the diagnosis can be clinical, the development of high-resolution colour Doppler ultrasound is a useful non-invasive tool for evaluating the lesion. We report a case of a 2-year-old male patient presenting with a congenital pulsatile lesion on his upper lip. Clinical diagnosis of a calibre persistent artery of the lip was confirmed by colour Doppler ultrasound. Images are provided to highlight findings of the physical and ultrasound examinations.

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“…En réalité, le diagnostic est rapidement confirmé si on réalise un écho-Doppler couleur : il met en évidence l'artère de calibre persistant et permet de préciser ses dimensions (diamètre et longueur). Il n'est pas nécessaire de recourir à la biopsie pour confirmer le diagnostic (1,4,5). Après la confirmation du diagnostic, on propose l'abstention thérapeutique excepté lorsqu'il existe une ulcéra-tion chronique.…”

Section: Fig 1 Small Inferior Labial Tumor Disclosing To a Caliber-unclassified

Artère labiale de calibre persistant

Vazquez

Carrel

Samson

2011

Med Buccale Chir Buccale

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Résumé -L'artère labiale de calibre persistant semble être relativement fréquente mais rarement décrite, la plupart des cas seraient asymptomatiques. L'écho-Doppler couleur permet de confirmer le diagnostic sans avoir recours à un acte invasif.Abstract -Caliber-persistent labial artery. The caliber-persitent labial artery appears very common but it is rarely reported; most of the cases are asymptomatic. The color Doppler ultrasound confirm the diagnosis and avoid invasive intervention.

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High‐resolution color Doppler ultrasound of a caliber‐persistent artery of the lip, a simulator variant of dermatologic disease: case report and sonographic findings

Cited by 20 publications

References 15 publications

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Early diagnosis of a calibre persistent labial artery in a child: Usefulness of ultrasonography

Artère labiale de calibre persistant

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