Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients (original) (raw)
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Lobular Capillary Hemangioma of Head and Neck Region: A Retrospective Study in A Tertiary Centre
Scholarly journal of otolaryngology, 2020
Lobular capillary hemangioma (LCH) is synonymously known as pyogenic granuloma, epulis gravidarum, eruptive hemangioma, granulation tissue-type hemangioma, granuloma gravidarum, pregnancy tumor and botryomycome [1-3]. It is a benign, fast growing, capillary proliferation with a microscopically distinct lobular architecture that affects the skin and mucous membranes of the oral and, rarely, of the nasal cavities and internal organs such as brain and liver [4-9]. Poncet and Dor were the first ones to describe it in 1897 as human botryomycosis and referred to these tumors as small vascular tumors in the fingers of four patients [1,7,10,11]. Oral cavity mucosa is the predominant site for LCH occurrence, but nasal cavity involvement is rare. Anterior septum (Little's area) is the most frequently affected site followed by turbinate, but lesions have also been described arising from the maxillary sinus, roof of nasal cavity and floor of nasal vestibule
Lobular Capillary Hemangioma of Nasal Septum - A rare presentation
International Journal of Biomedical Research, 2015
Lobular Capillary Hemangioma (LCH) is a benign, rapidly growing, vascular lesion of the skin and mucous membranes. It usually involves lips, gingiva, tongue and buccal mucosa. Involvement of nasal cavity is a rare presentation. In the nasal cavity, anterior part of nasal septum is the most frequently affected site. It commonly occurs in the third decade, and in females. The etiology until now remains obscure. The usual presenting symptoms are nasal obstruction and epistaxis. Endoscopic surgical excision is the preferred treatment of choice. In the present case, we describe a 14-year old male with left sided nasal obstruction due to a growing mass in the left nasal cavity. This case is reported for its rarity, and typical clinical and microscopic findings.
Pediatric Lobular Capillary Hemangioma Nasal Cavity
An International Journal Clinical Rhinology, 2015
A lobular capillary hemangioma (LCH) is a benign uncommon entity of unknown etiology among vascular lesions of the head and neck. Although it has no predilection for age, it is more common in the third decade and in females. Lobular capillary hemangioma usually involves the gingiva, lips, tongue and buccal mucosa. The nasal cavity is a rare location. The most common symptoms are nasal obstruction and epistaxis. The treatment is nasal endoscopic surgery. We review these vascular lesions and present the clinical features, radiological findings, treatment performed and histopathological results of two cases of LCH originating in the left inferior turbinate and septum. No recurrence was observed after complete endoscopic resection during 6 months follow-up. Lobular capillary hemangioma should be taken into consideration among the differential diagnosis of a painless hemorrhagic endonasal mass even though it is a rare entity. If complete resection is performed, prognosis is excellent and...
Open Journal of Otolaryngology and Rhinology, 2020
The lobular capillary hemangioma is lesion of vascular nature, benign, polypoid appearance, unique and of unknown origin. It usually occurs at any age, without predominance of sex. The clinical development of these lesions is slow, the most frequently observed symptoms are epistaxis and nasal obstruction. Histopathological examination is necessary to confirm the diagnosis. We report a case of lobular capillary hemangioma of the nasal vestibule in a 43-year-old male patient. Keywords: Lobular capillary hemangioma; Nasal vestibule; Vascular tumors
American Journal of Otolaryngology, 2017
Vascular tumors of the nasal cavity can represent a variety of pathologies. In this case report, we discuss two patients presenting with a large vascular lesion occupying the nasal cavity. Significant bleeding was encountered during the initial attempts for endoscopic surgical resection. One lesion was successfully excised following preoperative embolization while a second following sphenopalatine artery vascular ligation. In both cases, final pathology showed lobular capillary hemangioma (LCH). We present a literature review and discussion of LCH and other vascular tumors that present in the nasal cavity. In addition, we discuss the utility of pre-resection vascular control of these tumors.
Journal of Stomatology
Since initially described, the terms "pyogenic granuloma" (PG) and "lobular capillary hemangioma" (LCH) have undergone a significant change in meaning, which leads to a confusion in the literature. In this study, we attempted to investigate if there are any clinical and pathological differences between the pyogenic granuloma and lobular capillary hemangioma through a scoping review of the available literature. A Medline search has identified 342 articles from 2001 to 2018, from which English papers, case series, retrospective studies, and cross-sectional studies were selected. Data from the articles was charted using appropriate subheadings for the clinical question (e.g., number of patients, clinical features, histology, pathogenesis, differential diagnosis, treatment). Compared to LCH, PG seems to occur more in the middle-aged range, has a clearer predilection for (pregnant) females, and has more frequently a known triggering factor in the history. Histologically, PGs appear as radially organized capillaries (while LCHs have a lobular pattern), have a mixed inflammatory infiltrate (compared to the occasional lymphocytic infiltrate in LCHs), and can undergo fibrosing transformation when chronic, which is not seen in LCHs. Finally, besides basic excision, several other treatment options have been described for both lesions. Since the pyogenic granuloma and lobular capillary hemangioma show clinical and pathological differences, we propose them to be considered as distinct lesions, which makes interpreting the literature much easier.
Lobular Capillary Hemangioma of the Palate -A Case Report
Iranian Journal of Otorhinolaryngology, 2019
Introduction: Lobular capillary hemangioma (LCH) is caused by exuberant neovascular response to infection, local irritation (e.g., trauma), or hormonal influence (e.g., pregnancy and consumption of oral contraceptive pills). Pyogenic granuloma is considered to be a misnomer. Although the gingiva is involved in most of the cases, there are is rare cases of extragingival involvement. Herein, we reported a case of LCH associated with the dehiscence of the underlying bony hard palate. Case Report: A 50-year-old woman presented with a gradually increasing swelling over hard palate for 2 years. She was a hypertensive patient and mishri user (using tobacco-containing teeth cleaning powder) with known diabetes. She had undergone a teeth extraction 2 years ago. The palatine swelling was reddish-blue, sessile with a lobulated surface, firm in consistency, and non-tender with a of size 4×3 cm. The computed tomography (CT) scan revealed bony dehiscence of the underlying palate. Histopathologica...
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.