Nasal lobular capillary hemangioma: etiologic factors


  • Ricardo Costa S. Lemos Department of Otorhinolaryngology, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Rui Fonseca Department of Otorhinolaryngology, Hospital da Senhora da Oliveira, Guimarães, Portugal



Epistaxis, Lobular capillary hemangioma, Nasal obstruction


Nasal lobular capillary hemangioma (LCH) is a rare and benign vascular tumor of unknown etiology, often associated with hormonal factors and a history of trauma. In this case series we present twelve cases of nasal LCH diagnosed on patients treated at the Hospital da Senhora da Oliveira from January 2010 and December 2019. Of the 12 patients, 66, 7% were males. The most common clinical presentation was epistaxis (75%) followed by nasal obstruction (50%). In 75% of patients the most commonly affected area was the nasal septum. Regarding proposed contributing factors, nasal trauma was the most prevalent (33%), followed by the use of oral contraceptives (25%) and pregnancy (8.3%). Endoscopic sinus surgery was performed in all patients, with complete excision of the lesion, and no post-operative complications were observed. Nasal LCH should be considered in the differential diagnosis of nasal vascular lesions associated with unilateral epistaxis and nasal obstruction. Complete surgical resection should be the treatment of choice, since it’s associated with lower risk of recurrence.


Puxeddu R, Berlucchi M, Ledda GP, Parodo G, Farina D, Nicolai P. Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients. Am J Rhinol. 2006;20(4):480-4.

Lee JH. Lobular Capillary Hemangioma Originating From the Posterior End of the Inferior Turbinate: A Very Rare Occurrence. Ear Nose Throat J. 2021;1455613211009133.

Delbrouck C, Chamiec M, Hassid S, Ghanooni R. Lobular capillary haemangioma of the nasal cavity during pregnancy. J Laryngol Otol. 2011;125(9):973-7.

Tamaki A, Babajanian E, D'Anza B, Rodriguez K. Lobular capillary hemangiomas: Case report and review of literature of vascular lesions of the nasal cavity. Am J Otolaryngol. 2017;38(3):363-6.

Gregorio LL, Wu CL, Busaba NY. Lobular capillary hemangioma formation: An unusual complication of submucous resection with power instrumentation of the inferior turbinate. Laryngoscope. 2015;125(12):2653-5.

Lee DG, Lee SK, Chang HW, Kim JY, Lee HJ, Lee SM, et al. CT features of lobular capillary hemangioma of the nasal cavity. AJNR Am J Neuroradiol. 2010;31(4):749-54.

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.

Sánchez F, Lopez-Chacon M, Jou C, Haag O. Pediatric intranasal lobular capillary hemangioma: Report of two new cases and review of the literature. Respir Med Case Rep. 2016;18:31-4.

Alghamdi B, Al-Kadi M, Alkhayal N, Alhedaithy R, Al Mahdi MJ. Intranasal lobular capillary hemangioma: A series of five cases. Respir Med Case Rep. 2020;30:101073.

Washahi MK, Al Killidar A, Razek YA, Khamis T. Endonasal Endoscopic Complete Excision of Unilateral Nasal Hemangioma in a Child: Case Report and Technical Note. Oman Med J. 2019;34(2):156-9.

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.

Min HJ, Kim KS. Lobular Capillary Hemangioma Originating From the Nasopharynx. Ear Nose Throat J. 2021;100(9):626-8.

Ifeacho SN, Caulfield HM. A rare cause of paediatric epistaxis: lobular capillary haemangioma of the nasal cavity. BMJ Case Rep. 2011;2011:bcr0720103199.

Nayak DR, Bhandarkar AM, Shivamurthy A, Joy J. Intranasal lobular capillary haemangioma. BMJ Case Rep. 2014;2014:bcr2014207196.






Case Series