A case report of nasal lobular capillary hemangioma and its management

Authors

  • Vybhavi M. K. Department of ENT and HNS, BGS Global Institute of Medical Sciences, Bangalore, Karnataka, India
  • Srinivas V. Department of ENT and HNS, BGS Global Institute of Medical Sciences, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20243522

Keywords:

Nasal hemangioma, Epistaxis, Endoscopic excision

Abstract

Nasal lobular capillary hemangioma is a benign vascular lesion marked by epistaxis and nasal obstruction. The nasal cavity is a relatively rare location as lobular capillary hemangiomas commonly occur in the oral cavity. They are termed as lobular capillary hemangioma based on the histopathological features of anastomosing capillary networks arranged in lobular architechture. We report a case of 40 year old female with history of left nasal obstruction and recurrent epistaxis since 2 months. Examination of nose revealed a protruding reddish coloured mass on the left side and CT scan of nose and paranasal sinuses showed the mass arising from the anterior part of nasal septum along with nasal spur. Patient underwent surgical excision of the mass along with spur removal under general anesthesia. Histopathology demonstrated vascular proliferative lesion consistent with hemangioma. The diagnosis of capillary hemangioma must always be taken into account while considering the differential diagnosis of bleeding mass in the nasal cavity.

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References

Aremu SK, Gabriel OT, Rasaq AK, Salman A. Lateral nasal capillary haemangioma a rare occurrence-Case Report and Literature Review. Case Rep Clin Med. 2018;7(11):567-75.

Kim ST, Kim SH, Gu GY, Cha HE. Three cases of haemangioma in nasal septum. J Rhinol. 2000;7(4):80-3.

Akiner MN, Akturk MT, Atmis EO. Intraosseous cavernous haemangioma of inferior turbinate: A rare case report. Case Rep Otolaryngol. 2011;431365.

Kamath PM, Shenoy SV, Kini J, Mukundan A. Lobular capillary hemangioma of the nasal septum-A case report. Egypt J Ear Nose Throat Allied Sci. 2014;15(3):255-7.

Nedev P. Lobular capillary haemangioma of the nasal cavity in children. Trakia J Sci. 2008;6:63-7.

Archontaki M, Stamou AK, Hajiioannou JK, Kalomenopoulou M, Korkolis DP, Kyrmizakis DE. Cavernous Haemangioma of the left nasal cavity. Acta Otorhinolaryngologica Italica. 2008;28(6):309-11.

Poncet A, Dor L. Botryomycose Humaine. Rev Chir (Paris). 1897;18:996.

Hartzell MB. Granulation Pyogenicum (Botryomycosis of French Authors). J Cutaneous Dis.1974;22:520-3.

Miller FR, D’Agostino MA, Schlack K. Lobular capillary hemangioma of the nasal cavity. Otolaryngol Head Neck Surg. 1999;120:783-4.

Willis RA. Pathology of tumors. London, Butterworth and Co. 1948;700-2.

Patrice SJ, Wiss K and Mulliken JB. Pyogenic Granuloma (Lobular Capillary Hemangioma): A Clinicopathologic study of 178 cases. Pediatr Dermatol. 1991;8(4):267-76.

John NM, Vivekanand A, Varghese TS. Nasal hemangioma as a cause of epistaxis: a case report. Int J Otorhinolaryngol Head Neck Surg. 2020;6(4):776-9.

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.

Nair CS, Bahal MA, Bhadauria RS. Lobular capillary hemangioma of nasal cavity. MJAFI. 2008;64(3):270-71.

Anil Kumar R, Mahesh Babu M, Venkatarajamma PR, Mishra U. Pyogenic Granuloma of nasal septum: A Case report and Review of Literature. Int J Otolaryngol Head Neck Surg. 2014;3:190-4.

Bhattacharyya N, Wenokur RK, Goodman ML. Endoscopic excision of a giant pyogenic granuloma of the nasal cavity caused by nasal packing. Rhinology. 1997;35:44-5.

Simo R, De Carpentier J, Rejali D, Gunawardena WJ. Pediatric pyogenic granuloma presenting as a unilateral nasal polyp. Rhinology. 1998;36(3):136-8.

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.

Lee G, Suh K, Lee Y, Kang I. CT findings in Two cases of lobular capillary haemangioma of the nasal cavity: Focussing on the enhancement pattern. Dentomaxillofacial Radiol. 2012;41:165-8.

Smith SC, Patel RM, Lucas DR, Mc Hugh JB. Sinonasal Lobular Capillary Hemangioma: A Clinicopathologic study of 34 cases characterizing the potential for local recurrence. Head Neck Pathol. 2013;7(2):129-34.

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Published

2024-11-26