A case of hemangioma with phlebolithiasis of the cheek

There are relatively few reports of phlebolithiasis with hemangioma in the oral region. Recently we had a case of a female patient aged 11, woth a multiple stone cavernous hemangioma in the right cheek and she showed satisfactory progress after surgical extraction. Moreover, we analyzed the omposition of the stones by using observation from the infrared spectrum, an X-ray microanalyzer and amino-acid analysis.As a result, the main components of the stone were found to be Ca and P, and from the diffraction pattern, appeared to be hydroxyapatite. The results of the amino-add analysis showed a high quantity of glycine and this indicated the presence of collagen.Through extensive reading, we can report that since 1960, 43 cases (21 male, 22 female) of this diseases rufaced in Japan. The 60.5% of the patients were 10 to 20 years old. The lesion in 25 cases (58. 1%) appeared in the cheek, and in 6 cases (14.0%), in the tongue and submandible. In 11 cases (26. 2%), the number of stones ranged 1 to 5 pieces, and the maximum number in any one case was 39 stones.From the hystopathological viewpoint, in 29 cases which were adequately described, there was 21 case preponderance (72.4%) showing cavernous hemangioma.