Case Report: PDF OnlySubmandibular Cavernous Hemangiomas with Multiple Phleboliths Masquerading as SialolithiasisChuang, Chih-Chieh1; Lin, Hou-Chun1, *; Huang, Chia-WenaAuthor Information 1Division of Otolaryngology, Taipei City Hospital, Taipei, Taiwan, R.O.C. aDivision of Pathology, Yang-Ming Branch, Taipei City Hospital, Taipei, Taiwan, R.O.C. *Correspondence to: Dr. Hou-Chun Lin, Division of Otolaryngology, Yang-Ming Branch, Taipei City Hospital, 105, Yu-Sheng Street, Shih-Lin, Taipei 111, Taiwan, R.O.C. E-mail: [email protected] Received: December 13, 2004 • Accepted: May 31, 2005 Journal of the Chinese Medical Association: September 2005 - Volume 68 - Issue 9 - p 441-443 doi: 10.1016/S1726-4901(09)70162-5 Metrics Abstract Vasoformative tumors (almost exclusively hemangiomas) are the most common lesions of the major salivary glands during infancy and early childhood. They are more common in the parotid gland but are particularly rare in the submandibular gland. Changes in blood flow dynamics within hemangiomas result in thrombus formation and phleboliths. Hemangiomas of the salivary glands in adults are histologically unlike those in infants, the former being characteristically of the cavernous variant. Most cavernous hemangiomas require surgery since they do not show a tendency to regress. A case of an adult man with cavernous hemangioma affecting the submandibular salivary gland that clinically simulated sialolithiasis is presented to alert surgeons to the possibility of such a lesion. We describe the clinical course and review the literature. © 2005 by Lippincott Williams & Wilkins, Inc.