Spontaneous Regression Of A Large Nasal Hemangioma In A 55-year-old Male
Lee J. H. (2022). Spontaneous Regression of a Large Nasal Hemangioma in a 55-Year-Old Male. Ear, nose, & throat journal, 101(6), NP235–NP237. https://doi.org/10.1177/0145561320963695
View Original Source →Abstract
Lobular capillary hemangiomas (LCHs) are benign vascular lesions of the skin, oral cavity, and, rarely, the nasal cavity that are histologically characterized by capillary proliferation and a lobular architecture. The etiology of LCH is not well understood, but the possible underlying factors include trauma, hormonal influences, and angiogenic growth factors. This case report describes the spontaneous complete regression of an LCH without further surgery although it was incompletely excised. To our knowledge, this is a rare case for a middle-aged man.
Case Details
Disease Location
Nose
Personal Characteristics
55-year-old male. History of high blood pressure
Clinical Characteristics
Referred with a left nasal mass. He complained of left nasal obstruction and frequent nasal bleeding that had progressed over 6 months. Nasal endoscopy revealed a large reddish mass filling the left anterior nasal cavity. CT scan of the sinus revealed a dense soft tissue measuring 33 x 21 x 20 mm, which extended along the left inferior turbinate without bony destruction. MRI suggested a vascular mass. Using a pinpoint tip bovie and a suction coagulator, the mass was excised at its origin from the medial and inferior surfaces of the inferior turbinate with nasal endoscopy guidance. Significant bleeding occurred during the removal of the mass attached to the middle portion of the inferior turbinate. The surgery was discontinued because of the severe bleeding, and nasal packing was performed. Histopathological examination of the partially excised mass confirmed the diagnosis of a lobular capillary hemangioma (lch). A nasal splint tube was inserted into his left nasal cavity to relieve his nasal obstruction
Remission Characteristics
The residual mass was not observed during the examination of his left nasal cavity by nasal endoscopy 2 years after surgery, and his follow-up CT showed complete resolution
Treatment & Mechanisms
Clinical Treatment
Partial excision
Non-Clinical Treatment
None reported