Capillary lobular hemangioma of the nasal vestibule, a rare cause of epistaxis
DOI:
https://doi.org/10.34631/sporl.645Keywords:
Lobular capillary hemangioma, benign nasal neoplasia, epistaxisAbstract
Introduction: Lobular capillary hemangioma is a benign vascular neoplasia, frequent in the head and neck but extremely rare in the nasal vestibule. The present case aims to highlight the relevance of this clinical entity in the differential diagnosis of hemorrhagic lesions of the nasal cavity.
Case Report: A 22 year-old male presented to the emergency department complaining of a 15 days history of epistaxis and nasal obstruction. Anterior rhinoscopy showed a pediculate lesion, implanted on the inferior border of the left nasal vestibule. A total excision was performed under local anesthesia. The histological examination confirmed the diagnosis of a capillary lobular hemangioma.
Conclusion: Due to their rampant behavior, rapid growth and epistaxis, capillary lobular hemangiomas can be misdiagnosed with malignant neoplasms. This usually implies an extensive and needless workup.
References
Young K, Stearns G, Davidson TM. Hemangioma of the ethmoid sinus. Otolaryngol Head Neck Surg 2000, 517:517–519.
Kartaran H, Uraldi C, Ark N, Aktas D: Lobular capillary hemangioma of the middle turbinate. Acta Otolaryngol 2006, 126:442-444.
Neves-Pinto RM, Carvalho A, Araujo E, Alberto C, et al: Nasal septum giant pyogenic granuloma after a long lasting nasal intubation; Case report. Rhinology 2005, 43:66-69.
Karagama YG, Howarth K, Steel PRM, Spencer MG. Lobular capillary haemangioma of the nasal vestibule: a rare entity. Int J Pediatr Otorhinolaryngol. 2002;66(1):71-75
Mitchell RN: Benign tumors and tumor-like conditions. In:V Kumar, A Abbas and J Aster (Eds) Robbins & Cotran Pathologic Basis of Disease, 9th ed. Philadelphia: WB Saunders 2014, p 516.
Puxeddu R, Berlucchi M, Ledda GP, Parodo G, et al: Lobular capillary hemangioma of the nasal cavity: A retrospective study of 40 patients. Am J Rhinol 2006, 20:480-484.
Sheen TS, Ko JY, Hsu YH: Pyogenic granuloma – an uncommon complication of nasal packing. Am J Rhinol 1997, 11:225-227.
Lee HM, Lee SH, Hwang SJ: A giant pyogenic granuloma in the nasal cavity caused by nasal packing. Eur Arch Otorhinolaryngol 2002, 259:231-233.
Katori H, Tsukuda M: Lobular capillary hemangioma of the nasal cavity in child. Auris Nasus Larynx 2005, 32:185–188.
Jafek BW, Wood IIRP, Dion M, Granuloma pyogenicum, Ear Nose and Throat J 1977, 56:228-/233. 11. Mayer I. Electrocoagulation of oral lesions. Oral Surg 1962, 16:522–528.
Leopard PJ. Cryosurgery and its application to oral surgery. Br J Oral Surg 1975, 13:128–152.
Powell JL, Bailey CL, Coopland AT, Otis CN, et al. Nd:YAG Laser excision of a giant gingival pyogenic granuloma of pregnancy. Lasers Surg Med 1994;14:178–183.
Forman D, Goldberg HI. Microembolization and resection of a highly vascular pyogenic granuloma. J Oral Maxillofacial Surg 1990;48:415–418.
Miller FR, D’Agostino MA, Schlack K: Lobular capillary hemangioma of the nasal cavity. Otolaryngol Head Neck Surg 1999, 120:783-784.
Ifeacho SN, Caulfield HM. A rare cause of paediatric epistaxis: lobular capillary haemangioma of the nasal cavity. BMJ Case Rep. 2011;2011.
Mills SE, Cooper PH, Fechner RE: Lobular capillary haemangioma; the underlying lesion of pyogenic granuloma. A study of 73 cases from the oral and nasal mucous membrane. Am J Surg Pathol 1980, 4:470-479.
