Lobular Capillary Hemangioma of the Nasal Cavity: A Retrospective Study of 15 Cases in Taiwan

Year 2014, , 69 - 71, 07.08.2014

Tzu-hang Chi Chien-han Yuan Shang-tao Chien

https://doi.org/10.5152/balkanmedj.2014.13178

Abstract

Background: Lobular capillary hemangioma of the nasal cavity is an uncommon benign vascular tumor of unknown etiology. There have been only very few case reports in Taiwan. Aims: This study aimed to analyze the clinical features, radiological findings, treatment modalities, and outcome of lobular capillary hemangioma treated at a teaching hospital in Taiwan during a period of 10 years. Study Design: Descriptive study. Methods: Retrospective chart reviews were performed on patients who were diagnosed with lobular capillary hemangioma of the nasal cavity at Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, from January 2003 to December 2012. Data retrieved included age, gender, clinical symptoms, computed tomography (CT) findings, treatment modalities, and outcome for further analysis. Results: Of the 15 patients identified, there were five males and ten females ranging from 17 to 86 years of age, with a mean age of 43.8±20.2. Epistaxis was the most common presenting symptom. All patients presented a unilateral nasal lobular capillary hemangioma. The most commonly affected site was the anterior nasal septum, followed by the inferior turbinate, vestibule, middle turbinate, and posterior nasal septum. All lesions presented as soft tissue density without bony erosions under CT examination. Endoscopic excisional surgery (n=12) or classical local excision (n=3) was performed for complete removal of the hemangioma. No evidence of recurrence was observed with 6 to 75 months of follow-up. Conclusion: Lobular capillary hemangioma of the nasal cavity was usually found to occur in anterior septum with epistaxis. Complete excision with endoscopic surgery or classical local excision was recommended and recurrence can be prevented.

Keywords

Endoscopic surgery, epistaxis, lobular capillary hemangioma, nasal cavity

Lobular Capillary Hemangioma of the Nasal Cavity: A Retrospective Study of 15 Cases in Taiwan

Abstract

References

• Kurtaran H, Uraldi C, Ark N, Aktas D. Lobular capillary haemangioma of the middle turbinate. Acta Otolaryngol 2006;126:442-44. [CrossRef]
• Akyol MU, Yalciner EG, Dogan AI. Pyogenic granuloma (lobular ca- pillary hemangioma) of the tongue. Int J Pediatr Otorhinolaryngol 2001;58:239-41. [CrossRef]
• Genc S, Surkcuoglu S, Karabulut K, Acar B, Tuncel U, Degerli S. Gi- ant lobular capillary hemangioma of the nasal septum. Turk J Med Sci 2009;39:325-8.
• Nagashima M, Asano G, Yoshino S. Imbalance in production between vascular endothelial growth factor and endostatin in patients with rheu- matoid arthritis. J Rheumatol 2000;27:2339-42.
• Ozcan C, Apa DD, Gorur K. Pediatric lobular capillary hemangioma of the nasal cavity. Eur Arch Otorhinolarygol 2004;261:449-51. [CrossRef]
• Puxeddu R, Berlucchi M, Ledda GP, Parodo G, Farina D, Nicolai P. Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients. Am J Rhinol 2006;20:480-4. [CrossRef]
• Miller FR, D’agostino MA, Schlack K. Lobular capillary hemangioma of the nasal cavity. Otolaryngol Head Neck Surg 1999;120:783-4. [CrossRef]
• El-Sayed Y, Al-Serhani A. Lobular capillary haemangioma (pyogenic granuloma) of the nose. J Laryngol Otol 1997;111:941-5. [CrossRef]
• Smith SC, Patel RM, Lucas DR, McHugh JB. Sinonasal lobular capillary hemangioma: a clinicopathologic study of 34 cases characterizing potential for local recurrence. Head Neck Pathol 2013;7:129-34. [CrossRef]
• Balkan Med J, Vol. 31, No. 1, 2014