Intranasal lobular capillary hemangioma: A series of five cases (original) (raw)
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Lobular capillary hemangioma: A case report
International Journal of Medical and Dental Case Reports
Lobular capillary hemangioma also known as pyogenic granuloma is a rapidly growing benign neoplasm of oral cavity and mucous membrane. The present case is about a 65-year-old male patient who had reported with a chief complaint of pain in the right posterior back tooth region since 2-3. Lobular capillary hemangioma is normally presented on the gingiva as a response local irritation such as calculus, fractured tooth, minor trauma, rough dental restorations, and foreign materials. Here, in this case, we excised the lesion and the histopathological report confirms the diagnosis.
Encyclopedia of Otolaryngology, Head and Neck Surgery
Context: Pyogenic granuloma is the most common gingival tumor accounting for 75% of all cases reported. Lobular capillary hemangioma (LCH) is a histological variant of pyogenic granuloma, where there is an organized lobulated form of arrangement of proliferating aggregate of blood vessels. Case presentation: A 26-year-old woman in her 3rd trimester of pregnancy came to the dental outpatient department with a chief complaint of bleeding gums for the past few days. History revealed that the lesion recurred after excision. Management and prognosis: Surgical excision of the lesion was done, but there was uncontrolled bleeding necessitating the placement of bone wax and infusion of whole blood in order to achieve local hemostasis. The patient was followed up for a period of 1 year. Healing was uneventful without any recurrence of the lesion. Clinical implications: Dentist must be aware of LCH since incorrect diagnosis or simple excision can lead to life-threatening complications to the patient. It also warrants special care for pregnant women as profuse bleeding may lead to serious clinical complication, like inducing labor at very early gestation.
Lobular Capillary Hemangioma at an Unusual Location: A Rare Occurrence
A female patient aged 50 years presented with difficulty in swallowing and foreign body sensation in the throat for 2 months. She had no history of previous neck surgery or intubation. There was no history of odynophagia or change of voice. The patient had no history of weight loss or loss of appetite. Video laryngoscopy showed an exophytic pinkish, globular, pedunculated fleshy mass in the left pyriform sinus reaching the posterior pharyngeal wall (Fig. 1). Bilateral vocal cords were normal and mobile. Contrast-enhanced computer tomography (CECT) of the neck showed a well-defined avidly enhancing pedunculated mass of 1.5 x 1.6 cm arising from the left pyriform sinus on the axial view (Fig. 2). The patient underwent micro laryngoscopic excision of the mass (Fig. 3). Cystic vascular growth was seen arising from the left pyriform sinus.
A rare case of pediatric intranasal lobular capillary hemangioma
International Journal of Otorhinolaryngology and Head and Neck Surgery
Pediatric nasal cavity vascular tumors express a wide variety of pathologies. Lobular capillary hemangioma (LCH) is an acquired benign vascular growth of skin and mucosa whose etiology remains unknown, though trauma and hormonal influences are implicated. Although well documented in the head and neck literature for children age five or less, it is a rarity within the nasal cavity and has yet to be documented in the mid-septum. We describe a unique case of intranasal LCH and review the current literature. A nine-year-old male presented with one week of profuse intermittent unilateral epistaxis and no history of nasal trauma. Rhinoscopy revealed a pink, pedunculated mass of the right mid-nasal septum at the bony-cartilaginous junction. CT and MRI imaging were consistent with an expansile vascular lesion receiving prominent bilateral sphenopalatine artery supply. Following embolization, en bloc endoscopic surgical excision of the lesion using cold dissection was performed with no bony ...
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 the External Jugular Vein: A Rare Case Report
Iranian Journal of Otorhinolaryngology, 2021
Introduction: Hemangiomas are benign tumors that are very common in the head and neck region. However, intravascular hemangiomas are very rare. Hemangiomas are classified as capillary, cavernous or mixed tumors according to the proliferating cells. Ultrasound, computed tomography, MR imaging and angiography are useful diagnostic tools and are generally required when planning surgical treatment. Definitive diagnosis is established by histopathological examination, differentiating hemangiomas from other vascular tumors or malignancies. Case Report: We present a rare case of capillary hemangioma protruding from the external jugular vein. In our patient, the tumor was totally removed under local anesthesia. No complications and no recurrence were observed in the following two years. Conclusion: Intravascular tumors can present as neck masses and a definitive diagnosis is made by histopathological examination. Imaging tools provide important information about anatomy, the extent of the t...
Intramuscular capillary-type hemangioma: radiologic–pathologic correlation
Pediatric Radiology, 2014
Background Infantile hemangiomas demonstrate a pattern of proliferative growth in infancy followed by a slow phase of involution. In contrast a rare type of vascular tumor, intramuscular capillary-type hemangioma, usually presents beyond the period of infancy with nonspecific symptoms and no evidence of involution.
Intraosseous Hemangioma: A Case Report and Review of Literature
International Journal of Head and Neck Surgery, 2013
Intraosseous vascular lesions are rare conditions, comprising only 0.5 to 1% of all intraosseous hemangioma tumors. They mainly occur in the second decade of life especially in female. The most common locations are the vertebral column and skull; nevertheless, the mandible is quite rare location. Hemangiomas are benign vasoformative neoplasms of endothelial origin. However, the origin of central hemangioma is debatable. Cavernous hemangioma produces dilemma in diagnosis with central gaint cell tumor, aneurysmal bone cyst, ameloblastoma, cystic lesion such as residual cyst, keratocyst and fibro-osseous lesions, such as fibrous dysplasia being frontier in clinical diagnosis. Here, we report a 6 years male with cavernous hemangioma of mandible.
Subglottic Lobular Capillary Hemangioma: A Case Report
SM Otolaryngology, 2017
with a complaint of dyspnea and dry coughing. He had been suffering from increasing dyspnea, coughing, and occasional wheezing for two weeks but had not been suffering from hoarseness or fever. He had no history of previous intubation, airway surgery, trauma, or tuberculosis. Clinical examination of lung and heart revealed no abnormalities. Consequently, a neck and chest Computed Tomography (CT) with intravenous contrast was performed, which did not reveal any parenchymal lung disease. However, we observed a lesion on the left and posterior wall of the larynx, which probably caused a subglottic stenosis leading to dyspnea, wheezing, and coughing in this patient (Figure 1).