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Nasal lobular capillary hemangioma.

Patil P, Singla S, Mane R, Jagdeesh KS - J Clin Imaging Sci (2013)

Bottom Line: This lesion is believed to grow rapidly in size over time.The exact etiopathogenesis is still a dilemma.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, M.S Ramaiah Medical College, Bengaluru, Karnataka, India.

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.

No MeSH data available.


Related in: MedlinePlus

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
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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

Mentions: An excision biopsy was performed to remove the nasal mass from the septum. The excised specimen consisted of two irregular polypoidal bits of tissue measuring 3 cm × 2 cm × 1 cm mixed with a blood clot, and another bit measuring 2.5 cm × 2 cm × 1 cm [Figure 4]. On the cut surface, gelatinous mucinous-like material was found. Microscopic examination revealed polypoidal bits covered partly by stratified squamous epithelium and partly by pseudo-stratified epithelium with focal ulceration. The underlying stroma shows dense fibrosis and lobules of small capillaries lined by flattened epithelium and filled with blood [Figure 5]. The surrounding inflammatory infiltrate comprised of lymphocytes, eosinophils, plasma cells, and neutrophils these findings led to a diagnosis of lobular capillary hemangioma.


Nasal lobular capillary hemangioma.

Patil P, Singla S, Mane R, Jagdeesh KS - J Clin Imaging Sci (2013)

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
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814904&req=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
Mentions: An excision biopsy was performed to remove the nasal mass from the septum. The excised specimen consisted of two irregular polypoidal bits of tissue measuring 3 cm × 2 cm × 1 cm mixed with a blood clot, and another bit measuring 2.5 cm × 2 cm × 1 cm [Figure 4]. On the cut surface, gelatinous mucinous-like material was found. Microscopic examination revealed polypoidal bits covered partly by stratified squamous epithelium and partly by pseudo-stratified epithelium with focal ulceration. The underlying stroma shows dense fibrosis and lobules of small capillaries lined by flattened epithelium and filled with blood [Figure 5]. The surrounding inflammatory infiltrate comprised of lymphocytes, eosinophils, plasma cells, and neutrophils these findings led to a diagnosis of lobular capillary hemangioma.

Bottom Line: This lesion is believed to grow rapidly in size over time.The exact etiopathogenesis is still a dilemma.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, M.S Ramaiah Medical College, Bengaluru, Karnataka, India.

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.

No MeSH data available.


Related in: MedlinePlus