Cavernous haemangioma of the left nasal cavity and maxillary sinus (original) (raw)
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Cavernous haemangioma of the left nasal cavity
Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale, 2008
Cavernous haemangioma of the nose is a rare lesion but it has to be added to the differential diagnosis of an intra-nasal bleeding mass. A high index of suspicion, upon computed tomography delineation of the extent of the mass, including the presence of bone remodelling plus histological evaluation can be usefully employed to define an accurate diagnosis. In the present case of an adult female with a huge cavernous haemangioma arising from the mucosa of the left middle nasal meatus, the two most interesting points were the rarity as a site of occurrence of this tumour and the successful extirpation of this lesion with the minimally invasive trans-nasal endoscopic technique. We recommend the minimal invasive trans-nasal endoscopic technique for adequate exposure, sufficient control of bleeding and for complete removal of a nasal haemangioma reaching the nasopharynx and paranasal sinuses.
Cavernous haemangioma of right nasal cavity: a case report
International Surgery Journal
Hemangiomas are common, benign tumors which arise from the proliferation of endothelial cells surrounding blood-filled cavities. Cavernous hemangioma of the nasal cavity is a rare clinical entity but it should be considered in the differential diagnosis of the nasopharyngeal mass and in cases with epistaxis. This lesion is usually found on the lateral wall of nasal cavity and are more common in elderly with no sex preponderance. We present a case of cavernous hemangioma arising from the sphenopalatine area in a 54-year-old female. The tumour was successfully excised by trans-nasal endoscopic approach with pre-operative surgical embolization.
Cavernous hemangioma of the nasal cavity: mimicking as the inverted papilloma
International Journal of Otorhinolaryngology and Head and Neck Surgery
Cavernous hemangioma of the nasal cavity is extremely rare with only case reports in the literature highlighting the imaging findings on CT and MRI. Haemangioma are benign vascular tumours, which originate in the skin, mucosa and deep structures such as bones, muscles and glands. Exact etiopathogenesis of the haemangioma is not known, although they are divided into two types depending on the dominant vessel size at microscopy, capillary and cavernous. When these neoplasms arise in the nasal cavity, they are predominantly capillary and are found to arise from the nasal septum and are more common in the children. On the other hand, Cavernous haemangiomas are more likely to be found on the lateral wall of the nasal cavity and are more commonly seen in elderly. Also, inverted pappiloma also more commonly arise from the lateral wall of the nasal cavity, from the middle turbinate and also has the same demographics as the cavernous hemangioma. So, the distinction between the two should be carefully made based on the imaging findings so as to give the appropriate treatment to the patient. We have presented a rare case cavernous haemangioma arising from the mucosa of the middle nasal meatus, in a 37-year-old male which is mimicking as an inverted pappiloma based on the imaging features; however on histopathology proved to be cavernous hemangioma and also on the multimodal imaging that helps in early diagnosis and advocating appropriate and timely treatment.
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2001
A 16 year-old female presented for her cosmetic deformity with a slowly progressing swelling of insidious onset on the upper part of the bridge of the nose slightly towards the left side for 3 year duration. Clinical & radiological examination revealed an intra-osseous tumor of nasal bone. Histopathologically the tumor was a cavernous haemangioma of nasal bone. A follow up study upto 13-year showed no recurrence. A detailed search of world literature is carried out with clinical history & history of trauma. It could that nasal bone haemangioma is separate disease entity. The patients usually seek advise for their cosmetic deformity & sometime for nasal bleeding.
Diagnosis of cavernous haemangiomas by computed tomography and angiography
Acta Neurochirurgica, 1984
Computed tomography and angiographical findings of cavernous haemangiomas of the brain are reported on the basis of six cases of the authors, and a review of the literature. Computed tomography showed well demarcated, round densities with tiny calcifications, and mild contrast enhancement (0-25HU), with no mass effect and with open sulci round the lesion. The angiographical findings were normal except in one patient with an early draining vein and in another with a late draining vein; consequently an injection of at least 10 to 15ml of contrast medium, and a prolonged angiographical series are recommended. According to the literature, capillary blush may also be seen in angiography. If both CT and angiography are used the diagnosis is definitive, and a neoplasm can be excluded. In five of our patients the diagnosis was verified surgically and histologically, while the sixth patient was not operated on because the frontoparietal lesion was near the motor region. In most cases, surgical removal is easy and successful.
Cavernous Haemangioma of Parapharyngeal Space: A Case Report
Journal of Evolution of medical and Dental Sciences, 2015
OBJECTIVE: we are presenting a rare case of cavernous haemangioma of parapharyngeal space. CASE REPORT: 30 years old female presented with two non-reducible, compressible, soft swelling in neck and on posterolateral wall of right side of oropharynx. On examination we found a bluish colour swelling present on oropharynx. USG shows 11×25×32 mm well defined lesion present on neck along with another soft swelling present in submandibular region. Patient was explained regarding the further investigation and treatment but she did not turn up. CONCLUSION: cavernous haemangioma should be considered in the differential diagnosis of a parapharyngeal mass. It may also extend to anterior triangle of neck.
A Rare Case of Giant Cavernous Hemangioma of the Maxillary Sinus
American Journal of Case Reports, 2022
Objective: Rare disease Background: Hemangiomas are commonly located in the head and neck and rarely in the paranasal sinuses. These are benign vascular lesions, but with an increased risk of bleeding. The surgical approach must have detailed prior planning, given the increased risk of intraoperative bleeding. We herein describe the case of a 32-year-old male patient with recurrent epistaxis, nasal obstruction, and facial deformity due to a giant cavernous hemangioma successfully treated by endoscopic sinus surgery. Case Report: A 32-year-old man had nasal obstruction and intermittent epistaxis for 2 months. Physical examination also revealed facial deformity with enlargement of the nasal base and bulging in the maxillary region on the right. A soft and friable lesion occupying the entire right nasal cavity without bone erosion was observed on computed tomography (CT scan). Before surgery, the patient underwent angiographic evaluation, with evidence of main irrigation of the lesion by the right maxillary artery, which was then embolized. The patient underwent endoscopic nasal surgery. He maintained postoperative follow-up for 18 months, without recurrence of the lesion. Anatomopathological examination confirmed a cavernous hemangioma. Conclusions: Cavernous hemangioma is a benign lesion of the paranasal sinuses. Due to non-specific clinical and radiological findings, its preoperative diagnosis is always challenging. The high index of suspicion of the malignancy should only be discarded after complete anatomopathological evaluation. A correct diagnosis is essential to avoid facial anatomical remodeling while excluding the diagnosis of other malignant lesions.
Cavernous hemangioma of rhinopharynx: our experience and review of literature
Open Medicine, 2015
Hemangiomas are benign tumors originating in the vascular tissues of skin, mucosa, muscles, glands, and bones. Although these tumors are common lesions of the head and neck, they rarely occur in the nasal cavity and paranasal sinuses. Cavernous haemangioma of the lateral wall of the nasopharynx has not previously been reported. We examined the clinical, radiological and therapeutic management of cavernous haemangioma of nasopharynx starting from a clinical case of a 26-year-old woman with a history of recurrent and conspicuous epistaxis and leftsided nasal associated severe obstruction. Nasopharynx examination, by flexible endoscopy, showed a cystic mass borne by the left side wall of the nasopharynx, in contact with the soft palate, covered by intact and regular mucosa. Contrast-enhanced computed tomography (CT) scan, confirmed these findings and showed contextual lamellar calcifications and inhomogeneous enhancement. The nasal endoscopic approach (FESS), under general anesthesia, allowed removal of the mass, without complications, after careful hemostasis of arterial branches. It was possible to establish the precise site of origin of the tumor only during the surgical procedure. Histopathological study showed mucosa with extensive vascular proliferation, with framework of lacunar/cavernous haemangioma, also present at lamellar bone tissue level. An unusual site and an unspecific clinical appearance can make diagnosis and treatment of a cavernous hemangioma of the nasopharynx difficult. The nasal endoscopic technique proved to be reliable in terms of adequate exposure and visualization of the lesion, control of bleeding, and complete removal of the mass.