Mandibular haemophilic pseudotumour containing a fluid–fluid level

Kale, Hrishikesh; Rathod, Krantikumar; Prasad, Srinivasa R.; Madiwale, C; Sheth, Rahul

doi:10.1259/bjr.74.878.740186

Cited by 20 publications

(10 citation statements)

References 7 publications

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“…Other patterns of imaging features including an extensive fine trabecular bone pattern, 12 spicules perpendicular to a lesion, 13 fluid-fluid level in an osteolytic lesion 19 and periosteal strut from the cortex into a soft-tissue mass, 4,8 only new bone formation without an osteolytic portion 6 and flecks of calcification inside the lesion 1,22 have also been described in the previous reports.…”

Section: Discussionmentioning

confidence: 64%

“…In this report, we briefly summarized our case and the previous 24 studies, 1,[3][4][5][6][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] which included 32 cases, on haemophilic pseudotumours of the jaw. Table 1 shows the summary of studies conducted between 1968 and 2014, including the present case.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous attempts have been made to treat a haemophilic pseudotumour of the jaw by using treatment modalities such as radiotherapy, 5,10,20,21 cryoprecipitation, 11 curettage, 3,12,17,26 enucleation, 14,23 replacement therapy, 1,3,4,9,15,19,22,25,26 immobilization, 19 ethanol embolization 24 and resection. 4,13 The treatment plan is chosen on a case-by-case basis, and most physicians have accepted that replacement therapy that provides the coagulation factor is a fundamental component of treatment and another appropriate therapy with replacement therapy is effective.…”

Section: Discussionmentioning

confidence: 99%

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Haemophilic pseudotumour in two parts of the maxilla: case report

Kwon

Huh

et al. 2016

Dentomaxillofacial Radiology

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Haemophilic pseudotumour is a rare disease that occurs most often in femur, tibia, ilium or pelvic bone of a patient with haemophilia. Thus far, there have been only 31 reported cases in jaw bones and paranasal sinuses. Among them, the mandible is a more common site than the maxilla or paranasal sinuses. Here, we report a case of haemophilic pseudotumour in two parts of the maxilla. Contrast-enhanced CT showed an expansive and thinly corticated lesion with fluid attenuation at the left anterior maxilla which seemed like a post-operative maxillary cyst, ameloblastoma or odontogenic cyst. In addition, the thickened left palatal process of the maxilla seemed like fibrous dysplasia or intraosseous vascular malformation. Since haemophilic pseudotumour is not pathognomonic in radiological findings, when a patient who suffered from haemophilia or had taken anticoagulating agents has jaw lesion, haemophilic pseudotumour should be included in a differential diagnosis.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Haemophilic pseudotumour in two parts of the maxilla: case report

Kwon

Huh

et al. 2016

Dentomaxillofacial Radiology

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“…Intra muscular pseudotumours may be seen in areas of greater mobility and more prone to minor trauma such as the major flexors of the limbs, the calf, and forearm flexors. Our review of literature suggested that pseudotumours of the mandible or maxilla, occurred in young patients rather than in adults [2,3,[7][8][9][10]. It has only been described in the dentate region of the mandible and not elsewhere.…”

Section: Discussionmentioning

confidence: 83%

Pseudotumour of the Mandible Associated with von Willebrand’s Disease

Sathiya

Selvakumar

Singh

et al. 2014

J. Maxillofac. Oral Surg.

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“…As a valuable imaging feature, fluid-fluid levels have been described in aneurysmal bone cysts, giant cell tumour and so on. The sign occurring in Cases 2 and 3 may represent different layers secondary to repeated bleeding into the cystic cavity [15]. CT and MRI are also useful in the follow-up for patients after surgery, as well as in monitoring the treatment response.…”

Section: Discussionmentioning

confidence: 99%

Imaging features of paediatric haemophilic pseudotumour of the maxillary bone: report of three cases and review of the literature

Yang

Wang²,

Wang³

et al. 2012

The British Journal of Radiology

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Objectives: Haemophilic pseudotumour (HP) is an extremely rare lesion. The purpose of this study was to describe the CT and MRI features of maxillary bone HPs and introduce the key points to differentiate HP from the mimicking entities in the region. Methods: We retrospectively reviewed three paediatric patients with histologyproven HPs arising from the maxillary bone. All three patients underwent CT and/or MRI. Combined with six previously reported cases in the literature, the imaging features were comprehensively analysed. Results: All HPs showed a well-demarcated, multilobulated expansile osteolytic lesion in the maxillary bone. On non-enhanced CT, HPs appeared of mixed density relative to grey matter. The lesions appeared to have markedly heterogeneous signal intensity on both T 1 and T 2 weighted images, with septa-like enhancement following the administration of contrast material, which corresponded to blood products in various stages of evolution. The lesions caused cortical thinning and even focal disappearance and multiple bone septa were identified within the involved maxillary bone. Some HPs were associated with radiated periosteal proliferation, which can easily be misdiagnosed as a malignant bone tumour. Conclusion: A high index of suspicion for HP and a familiarity with imaging findings may help to accurately diagnose this rare entity. Haemophilic pseudotumour (HP) is a rare and serious complication that occurs in 1-2% of patients with severe haemophilia, and most frequently develops in the femur, tibia, pelvic bones, small bones of the hand and, rarely, in the craniofacial bones [1][2][3][4][5][6]. It is essentially an encapsulated haematoma resulting from repetitive bleeding and is surrounded by a thick, fibrous capsule. To the best of our knowledge, a total of six cases of maxillary bone HPs have been reported in the literature to date [1,2,[7][8][9][10]; unfortunately, the imaging findings were not described effectively. During the past 10 years, HPs in the maxillary bone have been confirmed by histopathology in three children at our hospital. The imaging findings of these three HPs were retrospectively reviewed and, combined with the literature, the value of using CT and MR imaging to diagnose, treat and follow up patients with HP in the maxillary bone was also discussed. Methods and materialsThis study was approved by the institutional review board. We retrospectively reviewed the CT and MRI findings of three patients with histology-proven HPs over a 10-year period

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Mandibular haemophilic pseudotumour containing a fluid–fluid level

Cited by 20 publications

References 7 publications

Haemophilic pseudotumour in two parts of the maxilla: case report

Haemophilic pseudotumour in two parts of the maxilla: case report

Pseudotumour of the Mandible Associated with von Willebrand’s Disease

Imaging features of paediatric haemophilic pseudotumour of the maxillary bone: report of three cases and review of the literature

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