Septal pyogenic granuloma: a continuing riddle
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20214694Keywords:
PG, Nasal septum, LCHAbstract
Pyogenic granuloma (PG) is a benign vascular lesion of the skin and mucous membranes commonly affecting the head and neck but less common in the nasal septum. Septal PG and can present with epistaxis and nasal obstruction. It is also called a lobular capillary hemangiomas (LCH) as histologically, pyogenic granuloma consists of circumscribed aggregates of capillaries arranged in lobules. Granulomatous lesions like Wegners granulomatosis, sarcoidosis and also tumours like squamous cell carcinoma, malignant melanoma can all mimic a septal PG. Surgical excision is the treatment of choice and diagnosis can be confirmed by histopathological examination. Complete resection can decrease the rates of recurrence. Here we reported a case of pyogenic granuloma of the nasal septum in a young female patient.
References
Kotsis K, Papacharalampous G, Potamianou S, Nikolatos G, Davils D. Bleeding polyp of the nasal septum: a case report. J Neurolog Surg Skull Base. 2009;19:120.
Özler G, Gülmez Mİ, Akbay E, Akoğlu E. Lobular capillary hemangioma of the nasal septum. Kırıkkale Univ Med Fac J. 2015;17:53-5.
Kumar RA, Babu MM, Venkatarajamma PR, Mishra U. Nasal/septal pyogenic granuloma of nasal septum: a case report and review of literature. Int J Otolaryngol Head Neck Surg. 2014;3(4):190.
Hartzell MB. Granulation pyogenicum (botryomycosis of French authors). J Cutaneous Dis. 1974;22:520-3.
Mills SE, Cooper PH, Fechner RE. Lobular capillary hemangioma: the underlying lesion of nasal/ septal pyogenic granuloma. a study of 73 cases from the oral and nasal mucous membranes. Am J Surg Pathol. 1980;4(5):470-9.
Miller FR, D’Agostino MA, Schlack K. Lobular capillary hemangioma of the nasal cavity. Otolaryngol Head Neck Surg. 1999;120(5):783-4.
Pagliai KA, Cohen BA. Pyogenic granuloma in children. Pediatr Dermatol. 2004;21(1):10-3.
Puxeddu R, Berlucchi M, Ledda GP, Parodo G, Farina D, Nocolai P. Lobular capillary hemangioma of the nasal cavity: a retrospective study on 40 patients. Am J Rhinol. 2006;20(4):480-4.
Lopez A, Tang S, Kacker A, Scognamiglio T. Demographics and etiologic factors of nasal pyogenic granuloma. Int Forum Allergy Rhinol. 2016;6(10):1094-7.
Smith SC, Patel RM, Lucas DR, McHugh JB. Sinonasal lobular capillary hemangioma: a clinicopathologic study of 34 cases characterizing potential for local recurrence. Head Neck Pathol. 2013;7(2):129-34.
Patrice SJ, Wiss K, Mulliken JB. Pyogenic granuloma (lobular capillary hemangioma): a clinico-pathologic study of 178 cases. Pediatric Dermatol. 1991;8(4):267-76.
Kulkarni A, Hathiram B. Pyogenic granuloma of nasal septum. Clinic Rhinol Int J. 2011;4(3):163-5.
Lee DG, Lee SK, Chang HW, Kim JY, Lee HJ, Lee SM, et al. CT features of lobular capillary hemangioma of the nasal cavity. Am J Neuroradiol. 2010;31(4):749-54.
Arora N, Singh J, Parmar S. Management of recurrent lobular capillary hemangioma of nasal septum. J Otolaryngol ENT Res. 2018;10(4):237-8.
Lopez A, Tang S, Kacker A, Scognamiglio T. Demographics and etiologic factors of nasal pyogenic granuloma. Int Forum Allergy Rhinol. 2016;6(10):1094-7.