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Case Reports
. 2020 May 11:30:101073.
doi: 10.1016/j.rmcr.2020.101073. eCollection 2020.

Intranasal lobular capillary hemangioma: A series of five cases

Bassam Alghamdi  1 , Mohammad Al-Kadi  1 , Norah Alkhayal  2 , Riyadh Alhedaithy  1 , Mohammed J Al Mahdi  1
Affiliations
Case Reports

Intranasal lobular capillary hemangioma: A series of five cases

Bassam Alghamdi et al. Respir Med Case Rep. .

Abstract

Background: Lobular capillary hemangiomas (LCH) are acquired benign vascular lesions of the skin and mucous membranes mostly affecting the head and neck region. Involvement of the nasal cavity is extremely rare and can manifest as epistaxis and nasal obstruction.

Case series: In this case series, we present five cases of intranasal LCH. Three cases are of pregnant women that presented with epistaxis and nasal obstruction. The first was surgically treated during her pregnancy with preoperative embolization of the tumor for vascular control, while the other two patients were treated after delivery. The two other cases are of a post trauma pediatric patient, and an elderly lady with multiple co-morbidities, both presenting with recurrent nose bleeds and nasal obstruction. Surgical excision was performed with no complications observed post-operatively.

Discussion: The etiology of LCH is unknown, but certain predisposing factors have been associated with the development of LCH and include pregnancy and trauma. The anterior portion of the nasal septal mucosa and the tip of the inferior turbinate are commonly involved sites. Computed tomography scans and histopathology are used to diagnose LCH. Treatment is surgical excision with or without pre-operative embolization.

Conclusion: LCH are rare tumors of the nasal cavity. Treatment of these lesions is surgical with or without preoperative vascular control.

Keywords: Endoscopic surgery; Epistaxis; Lobular capillary hemangioma; Pyogenic granuloma.

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Conflict of interest statement

The authors declare that there are no conflicts of interest to disclose with regards to this article.

Figures

Fig. 1
Fig. 1
Gross appearance of the highly vascular excised mass.
Fig. 2
Fig. 2
Intraoperative endoscopic examination revealed a left sided anterior nasal mass originating from the septum with a narrow pedicle.
Fig. 3
Fig. 3
Intraoperative excision was performed using Colorado needle. Hemostasis was maintained and packing was applied.
Fig. 4
Fig. 4
Axial and coronal sinus contrast enhanced CT scans showing a heterogeneous strongly enhancing mass involving the middle and lower meatus of the left nasal cavity with preserved architecture of adjacent bony structures. The mass measured 3.2 × 2.2 × 1.5 cm in its maximum dimensions.
Fig. 5
Fig. 5
Intraoperative endoscopic examination showing a large mass occupying the left nasal cavity.
See this image and copyright information in PMC

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