Intranasal Lobular Capillary Hemangioma with Multiple Sites of Origin during Pregnancy: A Case Report and Literature Review

In the present case report, we describe a 33-year-old pregnant woman in the third trimester with a history of recurrent epistaxis leading to frequent visits to the emergency department. Each episode of epistaxis was managed by anterior nasal packing. During endoscopic examination, a left nasal mass was seen. She was admitted and managed conservatively until she delivered her baby without complication. After delivery, a CT scan was taken, which showed an enhancing mass in the middle and lower meatus of the nasal cavity with no bony erosions. For symptomatic relief and tissue diagnosis, endoscopic surgical removal was advised. An intraoperative examination revealed a red, smooth, and well-circumscribed mass occupying the left nasal cavity and originating from the medial surface of the inferior turbinate and the inferior surface of the posterior part of the middle turbinate. A complete en bloc resection of the mass was performed endoscopically. The mass was sent for histologic analysis, which confirmed the diagnosis of lobular capillary hemangioma. Eventually, upon follow-up at two weeks, one month, three months, and six months postsurgery, no evidence of recurrence was detected.

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A rare case of pediatric intranasal lobular capillary hemangioma

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20204641 ◽

2020 ◽

Vol 6 (11) ◽

pp. 2115

Author(s):

Sam D. Schild ◽

Rachel Irizarry ◽

Ann Plum

Keyword(s):

Nasal Cavity ◽

Surgical Excision ◽

Vascular Lesion ◽

Capillary Hemangioma ◽

Vascular Tumors ◽

Preoperative Embolization ◽

Mri Imaging ◽

En Bloc ◽

Lobular Capillary Hemangioma ◽

The Right

<p class="abstract">Pediatric nasal cavity vascular tumors express a wide variety of pathologies. Lobular capillary hemangioma (LCH) is an acquired benign vascular growth of skin and mucosa whose etiology remains unknown, though trauma and hormonal influences are implicated. Although well documented in the head and neck literature for children age five or less, it is a rarity within the nasal cavity and has yet to be documented in the mid-septum. We describe a unique case of intranasal LCH and review the current literature. A nine-year-old male presented with one week of profuse intermittent unilateral epistaxis and no history of nasal trauma. Rhinoscopy revealed a pink, pedunculated mass of the right mid-nasal septum at the bony-cartilaginous junction. CT and MRI imaging were consistent with an expansile vascular lesion receiving prominent bilateral sphenopalatine artery supply. Following embolization, en bloc endoscopic surgical excision of the lesion using cold dissection was performed with no bony or cartilaginous involvement noted. The epistaxis resolved following resection. Final histology confirmed the mass as a lobular capillary hemangioma. Paediatric intranasal LCH is a rare entity, yet warrants consideration in our differential diagnosis of pediatric vascular tumors. Our study indicates these lesions can develop in the mid-septum despite the absence of a vascular plexus. Preoperative embolization should be considered for pediatric nasal cavity tumors due to concern for hemorrhage. Endoscopic wide local excision is an appropriate and effective treatment. </p>

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IMMUNOHISTOCHEMISTRY IN DIAGNOSIS OF EXTRANASOPHARYNGEAL ANGIOFIBROMA ORIGINATING FROM NASAL CAVITY: CASE PRESENTATION AND REVIEW OF THE LITERATURE

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2014.8 ◽

2013 ◽

Vol 56 (4) ◽

pp. 133-141 ◽

Cited By ~ 8

Author(s):

Aleksandar Perić ◽

Jelena Sotirović ◽

Snežana Cerović ◽

Ljubica Živić

Keyword(s):

Nasal Cavity ◽

Middle Turbinate ◽

Immunohistochemical Analysis ◽

Capillary Hemangioma ◽

Vascular Lesions ◽

Vascular Tumors ◽

Lobular Capillary Hemangioma ◽

Male Adolescents ◽

Extranasopharyngeal Angiofibroma ◽

Google Search

Angiofibromas are rare vascular tumors which originate predominantly in the nasopharynx and occur typically in male adolescents. Extranasopharyngeal sites such as nasal cavity and paranasal sinuses are less frequent. This review article was undertaken to evaluate the incidence, clinical features and management of extranasopharyngeal angiofibromas originating exclusivelly from nasal cavity structures. Our focus of interest was to evaluate the significance of immunohistochemical analysis in diagnosis of such extremely rare neoplasms. In the PubMed and Google Search, we found only 39 cases of nasal angifibroma, 27 males and 12 females from 1980 to 2012. The most prevalent site of origin was nasal septum, followed by inferior and middle turbinate. The commonest symptoms were nasal obstruction and epistaxis. Nasal angiofibromas are clinically distinct from nasopharyneal angiofibromas and can therefore be misdiagnosed. The differential diagnosis includes other vascular lesions, such as lobular capillary hemangioma and sinonasal-type hemangiopericytoma. Although immunohistochemistry is not necessary for differentiation between angiofibroma and capillary hemangioma, that diagnostic procedure may be helpful in distinction from sinonasal hemangiopericytoma. As an ilustration for immunohistochemical analysis, we presented a case of an elderly woman with tumor arising from the middle turbinate, diagnosed as angiofibroma. The staining was positive for CD34, CD31, factor VIII, vimentin and smooth muscle α-actin, and negative for desmin.

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Lobular Capillary Hemangioma of Nasal Cavity

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1098 ◽

2011 ◽

Vol 4 (3) ◽

pp. 152-153

Author(s):

Vaneeta Bhardwar ◽

Kulbir Kaur ◽

Sonia Arora

Keyword(s):

Nasal Cavity ◽

Nasal Obstruction ◽

Benign Lesion ◽

Middle Turbinate ◽

Capillary Hemangioma ◽

Diagnosis And Treatment ◽

Unknown Etiology ◽

Lobular Capillary Hemangioma

ABSTRACT Nasal lobular capillary hemangioma is a benign lesion of unknown etiology. Epistaxis and nasal obstruction are the most marked symptoms. We present a case of lobular capillary hemangioma, which was located on the posterior end of middle turbinate. The case is reported for its potential for being misdiagnosed and to highlight the advantage of nasal endoscopes in diagnosis and treatment.

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CT Features of Lobular Capillary Hemangioma of the Nasal Cavity

American Journal of Neuroradiology ◽

10.3174/ajnr.a1908 ◽

2009 ◽

Vol 31 (4) ◽

pp. 749-754 ◽

Cited By ~ 32

Author(s):

D.G. Lee ◽

S.K. Lee ◽

H.W. Chang ◽

J.Y. Kim ◽

H.J. Lee ◽

...

Keyword(s):

Nasal Cavity ◽

Capillary Hemangioma ◽

Lobular Capillary Hemangioma ◽

Ct Features

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Posttraumatic thoracic epidural capillary hemangioma – A rare case report

Surgical Neurology International ◽

10.25259/sni_567_2019 ◽

2020 ◽

Vol 11 ◽

pp. 179 ◽

Cited By ~ 1

Author(s):

G. Sudhir ◽

Vignesh Jayabalan ◽

T. H. Manohar ◽

Saikrishna Gadde ◽

Venkatesh Kumar ◽

...

Keyword(s):

Epidural Space ◽

Lower Limb ◽

Histopathological Examination ◽

Cord Compression ◽

Capillary Hemangioma ◽

Vascular Lesions ◽

Surgical Removal ◽

En Bloc ◽

Limb Weakness ◽

Thoracic Epidural

Background: Capillary hemangiomas are benign vascular lesions commonly seen in subcutaneous tissues. The most common site of origin is from the vertebral body, and only a few cases of isolated lesions in thoracic epidural space, especially after trauma, have been reported in the literature. Case Description: We report a case of 63-year-old male with progressive bilateral lower limb weakness and exaggerated lower limb deep tendon reflexes without bowel and bladder involvement. His history revealed T7 fracture with paraparesis which was treated surgically, and implants were removed a year later. MRI showed an epidural lesion from T6-T8 extending into the right T7-8 foramen which showed hypointensity on T1, hyperintensity on T2, and homogenous enhancement in contrast images with severe cord compression. Laminectomy was done and the lesion was removed en bloc. Histopathological examination revealed it to be capillary hemangioma. The neurology came back to normal after 3 months. Conclusion: Although capillary hemangiomas are rare lesions, it has to be considered in the differential diagnosis of epidural space-occupying lesions which require early surgical removal to prevent a progressive and permanent neurological deficit.

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Lobular Capillary Hemangioma in a Child: A Case Report and Literature Review

Journal of Clinical Case Reports ◽

10.4172/scientificreports.265 ◽

2012 ◽

Vol 02 (10) ◽

Author(s):

Ajay Mahajan

Keyword(s):

Case Report ◽

Literature Review ◽

Capillary Hemangioma ◽

Lobular Capillary Hemangioma

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Pyogenic Granuloma: A Case Report

Health Renaissance ◽

10.3126/hren.v8i3.4215 ◽

1970 ◽

Vol 8 (3) ◽

pp. 196-198 ◽

Cited By ~ 1

Author(s):

Md T Rizwanulla ◽

Bandana Koirala ◽

Shivalal Sharma ◽

Lalita Adhikari ◽

Anju Pradhan

Keyword(s):

Case Report ◽

Inflammatory Response ◽

Pyogenic Granuloma ◽

Capillary Hemangioma ◽

Definitive Diagnosis ◽

Vascular Lesions ◽

Minor Trauma ◽

Lobular Capillary Hemangioma ◽

Dental Restorations ◽

Foreign Materials

Anju Pradhan was added as an author of this paper on 04/03/2011Pyogenic granulomas (PG) are common benign vascular lesions of the skin and mucosa. They are neither infective, purulent nor granulomatous as the name might suggest-rather a reactive enlargement that is an inflammatory response to local irritation such as calculus, fractured tooth, minor trauma, rough dental restorations and foreign materials. Here, we report a case of 13 year old patient with PG and in addition to the knowledge, the importance of biopsy findings in establishing definitive diagnosis has been emphasized. Keywords: pyogenic granuloma; inflammatory hyperplasia; lobular capillary hemangioma. DOI: 10.3126/hren.v8i3.4215Health Renaissance, September-December 2010; Vol 8 (No.3);196-198

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Extensive nasopharyngeal angiofibroma case report

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v15i2.5061 ◽

1970 ◽

Vol 15 (2) ◽

pp. 75-77

Author(s):

M Alamgir Chowdhury ◽

Mousumi Malakar ◽

SM Golam Rabbani ◽

Naseem Yasmeen ◽

Shahidul Islam

Keyword(s):

Case Report ◽

Physical Examination ◽

Nasal Cavity ◽

Neck Region ◽

Lateral Rhinotomy ◽

Male Population ◽

Vascular Neoplasm ◽

Nasopharyngeal Angiofibroma ◽

Recurrent Epistaxis ◽

History Of

Juvenile nasopharyngeal angiofibroma is a benign vascular neoplasm, but it is locally aggressive. This accounts for less than 0.5% of all the neoplasm in the head & neck region in the male population only. Here we report a case of 10-year-old boy with a blackish red smooth polypoidal mass in the nasal cavity, with history of recurrent epistaxis. On physical examination it was suspected as nasopharyngeal angiofibroma. We removed it totally by lateral rhinotomy approach. And the diagnosis was nasopharyngeal angiofibroma on histopathology. Key words: Angiofibroma; Nasopharyngeal. DOI: 10.3329/bjo.v15i2.5061 Bangladesh J Otorhinolaryngol 2009; 15(2): 75-77

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