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. 2013 Sep 30:3:40.
doi: 10.4103/2156-7514.119134. eCollection 2013.

Nasal lobular capillary hemangioma

Prashant Patil  1 , Saurabh Singla, Ranoji Mane, K S Jagdeesh
Affiliations

Nasal lobular capillary hemangioma

Prashant Patil et al. J Clin Imaging Sci. .

Abstract

Nasal lobular capillary hemangioma is a rare benign tumor of the paranasal sinuses. This lesion is believed to grow rapidly in size over time. The exact etiopathogenesis is still a dilemma. We discuss a case of nasal lobular capillary hemangioma presenting with a history of epistaxis. Contrast enhanced computed tomography of paranasal sinuses revealed an intensely enhancing soft-tissue mass in the left nasal cavity and left middle and inferior meati with no obvious bony remodeling or destruction. We present imaging and pathologic features of nasal lobular capillary hemangioma and differentiate it from other entities like nasal angiofibroma.

Keywords: Kiesselbach plexus; Nasal lobular capillary hemangioma; paranasal sinuses; pyogenic granuloma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
46-year-old female with intermittent episodes of nasal bleeding diagnosed with lobular capillary hemangioma. Computed tomography of paranasal sinuses, coronal section, shows a lobulated well-circumscribed soft-tissue mass (white arrow) filling the left nasal cavity.
Figure 2
Figure 2
46-year-old female with intermittent episodes of nasal bleeding diagnosed with lobular capillary hemangioma. Contrast enhanced computed tomography of paranasal sinuses, axial section shows a lobulated well-circumscribed intensely enhancing soft-tissue mass (white arrow) filling the left nasal cavity.
Figure 3
Figure 3
46-year-old female with intermittent episodes of nasal bleeding diagnosed with lobular capillary hemangioma. Computed tomography of paranasal sinuses (coronal section) bone window reveals the lesion (white arrow) is closely attached to the nasal septum with no underlying destruction or remodeling of the underlying bones.
Figure 4
Figure 4
46-year-old female with intermittent episodes of nasal bleeding diagnosed with lobular capillary hemangioma. Gross specimen obtained after excisional biopsy of nasal mass from nasal septum shows polypoidal gelatinous tissue bits (black arrow) along with areas of hemorrhage (white arrow).
Figure 5
Figure 5
46-year-old female with intermittent episodes of nasal bleeding diagnosed with lobular capillary hemangioma. Hematoxylin and eosin stained tissue (×10) reveals lobules of small capillaries lined by flattened endothelium (thin black arrow) filled with blood, the surrounding stroma shows hemorrhage (thick black arrow) at places
See this image and copyright information in PMC

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