Clinical Study of Lobular Capillary Hemangioma in Nasal Cavity.
- Author:
Seong Kook PARK
1
;
Hong Wook CHO
;
Seong Ho JANG
;
Choon Keun PARK
Author Information
1. Department of Otolaryngology-Head & Neck Surgery, College of Medicine, Inje University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Lobular capillary hemangioma;
Nasal cavity
- MeSH:
Busan;
Capillaries;
Diagnosis, Differential;
Endothelial Cells;
Epistaxis;
Female;
Granuloma, Pyogenic*;
Hemangioma, Capillary;
Hemorrhage;
Humans;
Male;
Mouth Mucosa;
Nasal Cavity*;
Nasal Obstruction;
Nasal Septum;
Nose;
Recurrence;
Skin;
Turbinates
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2000;43(4):402-405
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Lobular capillary hemangioma (pyogenic granuloma) is a benign rapidly growing hemorrhagic lesion of unknown etiology and vascular proliferation of endothelial cells arranged in a characteristic pattern of circumscribed capillaries arranged in lobules. The disease usually affects the skin and the oral mucosa, but nose is a relatively rare location. The clinical impression of some lesions can often be misleading due to easy bleeding mass. The purpose of this paper is to present a series of patients seen over a period of 10 years at Inje University Pusan Paik Hospital with nasal capillary hemangioma. MATERIALS AND METHOD: We assessed 19 patients who were confirmed as lobular capillary hemangioma histopathologically and treated at Inje University Pusan Paik Hospital from 1988 to 1998. RESULTS: The study group was composed of 19 patients including nine males and ten females. The ages ranged from 3 to 58 years, with a mean of 36.6 year and four of the ten female patients were pregnant. Epistaxis with nasal obstruction was the most marked symptom. Eight lesions arose from the nasal septum, 7 from the inferior turbinates, 8 from the lateral nasal wall and one from the nasal floor. The size of masses ranged within 1 cm in 11 of the 19 cases. All patients were treated by simple excision and electrocauterization, with only one showing recurrence. CONCLUSION: Uncommon lesions should also be considered in the differential diagnosis of a rapidly growing hemorrhagic lesion if they are within the nasal cavity. Clinical and histological diagnostic pitfalls occur frequently.
