Capillary Haemangioma of Nasal Septum

AbstrakCapillary haemangioma is a benign, rapidly growing lesion of the skin and mucous membranes. It may rarely present as a mass of considerable size and thus entirely fill the nasal cavity. Its etiology remains obscure. Capillary haemangioma usually involves the gingiva, lips, tongue, and buccal mucosa. However, the nasal cavity is a rare location for this lesion. The most common symptoms are unilateral epistaxis and nasal obstruction. The treatment of choice is surgery to remove the tumour even for large lesion. A case of capillary haemangioma at anterior nasal septal in 6 years old girl had been treated with extirpation.Kata kunci: Capillary haemangioma, nasal septum, epistaxis, diagnosis, treatmentAbstractHaemangioma kapiler merupakan suatu lesi jinak pada kulit dan mukosa dengan pertumbuhan yang cepat. Meskipun jarang berukuran besar, namun dapat memenuhi seluruh kavum nasi. Etiologinya sampai sekarang masih belum jelas. Haemangioma kapiler sering terdapat pada ginggiva, bibir, lidah dan mukosa bukal. Kavum nasi merupakan lokasi yang jarang terdapatnya haemangioma kapiler. Gejala yang paling sering adalah unilateral epistaksis dan sumbatan hidung. Pembedahan untuk mengangkat tumor ini merupakan terapi pilihan meskipun berukuran besar. Suatu kasus haemangioma kapiler septum anterior pada anak perempuan berumur 6 tahun telah dilakukan ekstirpasi sebagai terapi.Keywords: Haemangioma kapiler, septum nasi, epistaksis, diagnosis, penatalaksanaa

Lateral Nasal Capillary Haemangioma a Rare Occurrence—Case Report and Literature Review

Nasal lobular capillary haemangioma (CH), also known as pyogenic granuloma, is a benign lesion of unknown etiology commonly associated with pregnancy, oral contraceptive pills, and trauma. Marked by epistaxis and nasal obstruction, the condition involves benign capillary proliferation with a microscopically distinctive lobular architecture, affecting the skin and mucous membranes of the oral cavity and nasal region. This aim of this article is to report a case of lateral nasal capillary haemangioma in a 39-year-old female, who presented in our facilities having experienced spontaneous epistaxis on the left side of the nose for the previous three months. Endoscopy revealed a protruding left intranasal mass arising from the lateral nasal wall in the region of the middle turbinate and osteo-meatal complex. The patient underwent endoscopic excision of the mass and did excellently well thereafter with no recurrence

A Rare Case of Bleeding Polypus of Nasal Septum During Pregnancy

Background: Inflammatory haemangioma of the nasal septum, known as “pyogenic granuloma” or “bleeding polyp,” is an uncommon lesion in adults. Pyogenic granuloma is a polypoid capillary haemangioma, sometimes called lobular capillary haemangioma, which is seen on skin and mucosal surfaces. These lesions occur in the gingiva, most commonly the fingers, nasal cavities, face, lips and tongue. Sixty percent of nasal lesions arise on the septum and can appear with epistaxis. The aim of this study is to report an interesting case of a lobular capillary hemangioma of the nasal septum, including its surgical treatment, clinical appearance and diagnostic access. Case Report: A 36-year-old woman with two months of amenorrhoea presented with a short history of unilateral nasal obstruction, epistaxis, and nasal discharge. A thorough medical history, clinical and endoscopic examination were obtained. The mass was completely excised without any difficulty under LA and cauterisation of the base done with TCA. The patient remained free of symptoms at a six-month follow-up. Conclusions: This uncommon lesion should be considered in the differential diagnosis of a rapidly growing haemorrhagic lesion within the nasal cavity. In lobules, pyogenic granuloma consists of circumscribed aggregates of capillaries arranged. Clinical and histological diagnostic pitfalls occur frequently. Surgical excision is the treatment of choice; incomplete resection can lead to recurrence

Pediatric Nasal Lobular Capillary Hemangioma

Background. LCH is a benign vascular growth of the skin and mucous membranes commonly affecting the head and neck. Since it was first described in the nineteenth century, this entity has been variously known as “human botryomycosis” and “pyogenic granuloma.” The shifting nomenclature reflects an evolving understanding of the underlying pathogenesis. We review the histopathology of and current epidemiological data pertaining to LCH which suggests that the development of these lesions may involve a hyperactive inflammatory response influenced by endocrine factors. We report two new cases of pediatric lobular capillary hemangioma (LCH) of the nasal cavity and review current theories regarding the etiology, diagnosis, and treatment of nasal LCH. Methods. Retrospective case series. Case Series. Two adolescent females presented with symptoms of recurrent epistaxis, nasal obstruction, and epiphora. Both patients underwent computed tomography imaging and biopsy of their intranasal mass. The tumors were excised using image-guided transnasal endoscopic technique. Seven other cases of nasal LCH have been reported to date in the pediatric population. Conclusion. Nasal LCH is a rare cause of an intranasal mass and is associated with unilateral epistaxis, nasal obstruction, and epiphora. We advocate for image-guided endoscopic excision of LCH in the adolescent population

Hemangioma capilar lobular nasal. A propósito de un caso

Se presenta el caso de una mujer de 36 años, primigesta, quien en el cuarto mes de gestación presentó una lesión en la zona vestibular nasal derecha, secundaria a rinorrea acuosa por rinitis aguda viral; debido a la manipulación continua, la lesión sufría erosiones recurrentes y con el tiempo desarrolló una tumoración que creció hasta protruir hacia el exterior. La extirpación se realizó dos meses después del parto, y el estudio anátomo-patológico reveló hemangioma capilar lobular. Debido a que el lugar de presentación es inusual se reporta el caso y se realizó una revisión del tema

Ekstirpasi Hemangioma di Dinding Lateral Hidung dengan Pendekatan Endoskopi

Abstrak Pendahuluan: Hemangioma di dinding lateral hidung merupakan kasus tumor jinak pembuluh darah yang jarang angka kejadiannya. Metode: Pendekatan endoskopi memberikan hasil yang lebih baik pada penatalaksanaan kasus tumor jinak di daerah hidung dan sinus paranasal. Pada kasus-kasus tertentu, pendekatan endoskopi memberikan beberapa keuntungan lebih, seperti dapat mengangkat massa tumor dengan morbiditas yang rendah dan menghindari kerusakan yang tidak perlu pada mukosa dan struktur anatomi yang sehat. Diskusi: Telah dilakukan pengangkatan hemangioma di dinding lateral hidung dengan pendekatan endoskopi pada seorang pasien wanita berusia 33 tahun. Kata kunci: hemangioma, dinding lateral hidung, pendekatan endoskopi Abstract Introduction: The hemangioma in the lateral wall of the nose is an uncommon benign vascular neoplasm. Methods: The endoscopic approach can be succesfully employed for the treatment of benign tumor of the nose and paranasal sinuses. In selected cases, this surgical technique allows the complete removal of the tumor with less morbidity, and avoidance of unnecessary resection of healthy mucosa and anatomy structures. Discussion: A case of endoscopic management of a hemangioma in the lateral wall of the nose in a 33 years old girl is reported. Keywords:hemangioma, lateral wall of the nose, endoscopic approac

Clinicopathological Profile of Sinonasal Tumors – A Five Year Study.

The nasal cavity and paranasal sinuses including the maxillary, ethmoid, sphenoid and frontal sinuses are collectively referred to as the sinonasal tract. The sinonasal tract is anatomically and embryologically distinct from the nasopharynx. Although the sinonasal tract and nasopharynx have identical appearing ciliated respiratory epithelium, the epithelium of the sinonasal tract is ectodermally derived, while that of nasopharynx is endodermally derived. This embryologic difference may be a factor in the development of certain epithelial lesions unique to these surfaces eg.schneiderian papillomas of sinonasal tract and nasopharyngeal carcinomas.7 The mucosa of the nasal cavity and paranasal sinuses is often referred to as schneiderian mucosa to emphasize its ectodermal origin as opposed to the endodermal origin of the morphologically identical mucosa lining the rest of the respiratory tract. Nasal stroma is well vascularised fibromuscular tissue. This is occasionally misinterpreted as a vascular malformation or a vascular tumour. In the paranasal sinuses a layer of thin cancellous bone supports this mucosal and stromal arrangement.8 Tumors of the nasal cavity and paranasal sinuses are rare pathologies with extremely varied etiopathology,clinical behaviour,treatment and prognosis. The symptoms of the neoplastic processes are essentially similar to inflammatory pathology of the sinonasal tract with resultant delay of diagnosis. The clinical and radiological features of masses of nasal cavity and paranasal sinuses are overlapping and often only a provisional diagnosis is possible. Definite diagnosis requires histopathological examination as most of the lesions are inaccessible for fine needle aspiration or FNAC is not recommended because of fear of haemorrhage. In our attempt at a comprehensive analysis of 200 sinonasal tumors a heterogenous and a wide variety of benign and malignant neoplasms were encountered. Rare entities like craniopharyngioma,schwannoma and osteoid osteoma among benign tumors and malignant melanoma,fibrosarcoma, metastatic clear cell carcinoma among malignant tumors were reported. To conclude, categorizing the sinonasal tumors according to histopathological features into various types helps us to understand the clinical presentation, treatment, clinical outcome and prognosis. The key in the diagnosis and treatment of sinonasal tumors remains a high index of suspicion and early diagnosis, as late presentation and delay in early diagnosis are major constraints to favourable outcome of treatment