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Case Reports
. 2015 Jul;30(4):303-5.
doi: 10.5001/omj.2015.60.

Nasal Angioleiomyoma: An Unusual Cause of Epistaxis

Lalee Varghese  1 , Susana Mathew  1 , Kavitha Vijayakumar  2
Affiliations
Case Reports

Nasal Angioleiomyoma: An Unusual Cause of Epistaxis

Lalee Varghese et al. Oman Med J. 2015 Jul.

Abstract

Angioleiomyomas are infrequent benign tumors originating from smooth muscle cells of arterial or venous walls. They are most commonly seen in the lower extremities with a prevalence of only 8.5% in the head and neck. We present the case of a 40-year-old male patient who presented to Christian Medical College, Vellore, India, with recurrent episodes of right-sided epistaxis. A computed tomography scan showed an enlarged right inferior turbinate filling the right nasal cavity. The mass was removed endoscopically and sent to pathology. A diagnosis of angioleiomyoma of the nasal cavity was made. This location that has only been described in a minority of cases in the literature. Our case report signifies the importance of maintaining a broad differential when dealing with patients presenting with nasal mass and the importance of histopathological examination for the diagnosis.

Keywords: Angioleiomyoma; Leiomyoma, Vascular; Nasal Cavity.

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Figures

Figure 1
Figure 1
Computed tomography image of para nasal sinuses showing an enlarged right inferior turbinate filling the right nasal cavity and an opacified left maxillary sinus with blocked infundibulum.
Figure 2
Figure 2
Well-circumscribed tumor lined by respiratory epithelium and composed of numerous vascular channels, magnification= 100×.
Figure 3
Figure 3
High power magnification (400×) showing a vascular channel the wall composed of bundles of spindle shaped smooth cells with mildly pleomorphic nuclei, finely dispersed chromatin and moderate amounts of cytoplasm.
Figure 4
Figure 4
Clusters of mature adipocytes interspersed among the tumour cells, magnification= 200×.
See this image and copyright information in PMC

References

    1. Stout AP. Solitary cutaneous and subcutaneous leiomyoma. Am J Cancer 1937. Mar;29:435-469 .10.1158/ajc.1937.435 - DOI
    1. Jo VY, Fletcher CD. WHO classification of soft tissue tumours: an update based on the 2013 (4th) edition. Pathology 2014. Feb;46(2):95-104. 10.1097/PAT.0000000000000050 - DOI - PubMed
    1. Morimoto N. Angiomyoma (vascular leiomyoma): A clinicopathologic study. Med J Kagoshima Univ 1973;24:663-683.
    1. Willoughby AD, Schlussel AT, Freeman JH, Lin-Hurtubise K. Angioleiomyoma in a rare location: a case report. Hawaii J Med Public Health 2013. Feb;72(2):45-48. - PMC - PubMed
    1. Duhig JT, Ayer JP. Vascular leiomyoma. A study of sixtyone cases. Arch Pathol 1959. Oct;68:424-430. - PubMed

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