A rare case of capillary hemangioma mimicking glomus tympanicum in a 38 years old male
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20260800Keywords:
Capillary hemangioma, Middle ear tumor, Conductive hearing loss, Temporal bone massAbstract
Capillary hemangiomas of the middle ear are rare benign vascular neoplasms characterized by abnormal proliferation of small blood vessels. We report a case of a 38-year-old male who presented with episodes of otorrhea, aural fullness, otalgia, and hearing loss in the left ear. Otoscopic examination revealed a thickened, reddish, non-pulsatile tympanic membrane. Pure tone audiometry demonstrated mild conductive hearing loss, and CT imaging of the temporal bone showed a soft tissue mass in the mesotympanum and epitympanum. Surgical exploration and histopathology confirmed the diagnosis of a capillary hemangioma. Surgical excision remains the mainstay of treatment, with histopathology as the definitive diagnostic tool. Long-term follow-up is recommended due to the risk of recurrence.
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References
Nouri H, Harkani A, Elouali Idrissi M, Rochdi Y, Aderdour L, Oussehal A, et al. Capillary Hemangioma of the Middle Ear: Case Report and Review of the Literature. Case Rep Otolaryngol. 2012;2012:305172. DOI: https://doi.org/10.1155/2012/305172
Manning SC, Culbertson MC, Vuitch F. Bilateral middle ear lobular capillary hemangiomas. Otolaryngol Head Neck Surg. 1990;102(1):85-8. DOI: https://doi.org/10.1177/019459989010200114
Dayal VS, Lafond G, Van Nostrand AW, Holgate RC. Lesions simulating glomus tumors of the middle ear. J Otolaryngol. 1983;12(3):175-9.
Rosai J. Soft tissues: Ackerman’s Surgical Pathology. St Louis (MO): Mosby. 1996: 2021-2033.
Kojima H, Yaguchi Y, Moriyama H. Middle ear hemangioma: a case report. Auris Nasus Larynx. 2008;35(2):255-9. DOI: https://doi.org/10.1016/j.anl.2007.04.010
Varshney S, Malhotra M, Kaur N, Gairola P. Capillary haemangioma: a rare vascular tumour of the external auditory canal. Indian J Otolaryngol Head Neck Surg. 2015;67(4):417-21. DOI: https://doi.org/10.1007/s12070-015-0822-y
Zhong CP, Wen LT, Han Y, Yang C, Qiao L, Ye J, et al. Capillary Hemangioma of the Middle Ear and External Auditory Canal: A Case Report. J Otol. 2010;5(2):111-6. DOI: https://doi.org/10.1016/S1672-2930(10)50023-0
Fernando JZ, Ricalde RR. Capillary Hemangioma of the Temporal Bone. Philipp J Otolaryngol Head Neck Surg. 2017;32(1):183. DOI: https://doi.org/10.32412/pjohns.v32i1.183
Yang G, Li C, Chen X, Liu Y, Han D, Gao X, et al. Large capillary hemangioma of the temporal bone with a dural tail sign: A case report. Oncol Lett. 2014;8(1):183-6. DOI: https://doi.org/10.3892/ol.2014.2143
Pistorio V, De Stefano A, Petrucci AG, Achilli V. Capillary haemangioma of the middle ear: a rare lesion difficult to evaluate. Acta Otorhinolaryngol Ital. 2011;31(2):109-12.