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Short communication| Volume 58, ISSUE 1, P85-88, January 2020

Metastatic epithelioid haemangioendothelioma masquerading as periodontal pathosis: a case report

  • Author Footnotes
    1 All authors have contributed significantly to the preparation of this paper.
    ,
    Author Footnotes
    2 Royal Perth Hospital: 197 Wellington st, Perth, Western Australia, 6000 University of Western Australia Dental School, 17 Monash avenue, Nedlands, Western Australia, 6009.
    J.B. Olsen
    Correspondence
    Corresponding author at: Department of Oral and Maxillofacial Surgery, Royal Perth Hospital, 197 Wellington Street, Perth, WA, 6000
    Footnotes
    1 All authors have contributed significantly to the preparation of this paper.
    2 Royal Perth Hospital: 197 Wellington st, Perth, Western Australia, 6000 University of Western Australia Dental School, 17 Monash avenue, Nedlands, Western Australia, 6009.
    Affiliations
    Department of Oral and Maxillofacial Surgery, Royal Perth Hospital
    Search for articles by this author
  • Author Footnotes
    1 All authors have contributed significantly to the preparation of this paper.
    ,
    Author Footnotes
    2 Royal Perth Hospital: 197 Wellington st, Perth, Western Australia, 6000 University of Western Australia Dental School, 17 Monash avenue, Nedlands, Western Australia, 6009.
    D. Gebauer
    Footnotes
    1 All authors have contributed significantly to the preparation of this paper.
    2 Royal Perth Hospital: 197 Wellington st, Perth, Western Australia, 6000 University of Western Australia Dental School, 17 Monash avenue, Nedlands, Western Australia, 6009.
    Affiliations
    Royal Perth Hospital, Department of Oral and Maxillofacial Surgery, Oral Health and Equity, Department of Human Sciences, University of Western Australia
    Search for articles by this author
  • Author Footnotes
    1 All authors have contributed significantly to the preparation of this paper.
    ,
    Author Footnotes
    2 Royal Perth Hospital: 197 Wellington st, Perth, Western Australia, 6000 University of Western Australia Dental School, 17 Monash avenue, Nedlands, Western Australia, 6009.
    A. Frydrych
    Footnotes
    1 All authors have contributed significantly to the preparation of this paper.
    2 Royal Perth Hospital: 197 Wellington st, Perth, Western Australia, 6000 University of Western Australia Dental School, 17 Monash avenue, Nedlands, Western Australia, 6009.
    Affiliations
    Department of Oral Medicine, University of Western Australia
    Search for articles by this author
  • Author Footnotes
    1 All authors have contributed significantly to the preparation of this paper.
    2 Royal Perth Hospital: 197 Wellington st, Perth, Western Australia, 6000 University of Western Australia Dental School, 17 Monash avenue, Nedlands, Western Australia, 6009.
Published:August 28, 2019DOI:https://doi.org/10.1016/j.bjoms.2019.08.017

      Abstract

      We present a non-healing lesion on the gingivae attached to the mandible that mimicked periodontal disease, and was refractory to local debridement and oral hygiene measures. Biopsy examination showed a metastatic epithelioid haemangioendothelioma. This rare vascular tumour is considered to be malignant and management is controversial, owing to the paucity of published data. Treatment was provided in a multi-disciplinary setting as a result of established pulmonary and musculoskeletal metastases. The patient opted for conservative management and close surveillance of the lesion, which continues to remain stable at the time of writing, nearly two years after the initial assessment.

      Keywords

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