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Lobular capillary haemangioma of the nasal cavity during pregnancy

Published online by Cambridge University Press:  12 July 2011

C Delbrouck ,
M Chamiec ,
S Hassid  and
R Ghanooni
C Delbrouck*
Affiliation:
Department of ENT and Head and Neck Surgery, Erasmus Hospital, Brussels, Belgium
M Chamiec
Affiliation:
Department of Gynaecology, Erasmus Hospital, Brussels, Belgium
S Hassid
Affiliation:
Department of ENT and Head and Neck Surgery, Erasmus Hospital, Brussels, Belgium
R Ghanooni
Affiliation:
Department of ENT and Head and Neck Surgery, Erasmus Hospital, Brussels, Belgium
*
Address for correspondence: Dr C Delbrouck, Dept of ENT and Head and Neck Surgery, Erasmus Hospital, 808 Route de Lennik, 1070 Brussels, Belgium Fax: +32 2 555 68 26 E-mail: [email protected]
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Abstract

Objective:

We report a pregnant patient with a rapidly growing mass within the nasal cavity, which required pre-operative super-selective embolisation and subsequent removal under general anaesthesia after childbirth. We also discuss the clinical, radiological and histological characteristics of lobular capillary haemangioma, and its treatment.

Method:

Case report and literature review.

Results:

Lobular capillary haemangioma is a benign lesion originating in the vascular tissue of skin, mucosa, muscles, glands and bone. These lesions grow rapidly. Nasal localisation is rare. Microtrauma and pregnancy are the most commonly proposed aetiological factors. Reported incidence during pregnancy ranges from less than 2 per cent to approximately 5 per cent. The management of a pregnant woman with such a lesion may be complex, and depends on the severity of symptoms and the status of the pregnancy. Complete surgical excision, with or without pre-operative embolisation, is the treatment of choice.

Conclusion:

This uncommon lesion should be considered in any pregnant patient with a mass in the mouth or nasal cavity.

Keywords

Granuloma, PyogenicNasal CavityPregnancyPathology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 9 , September 2011 , pp. 973 - 977
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Takeda, K, Takenaka, Y, Hashimoto, M. Intraosseous hemangioma of the inferior turbinate. Case Report Med 2010;409429, Epub 2010 Mar 15CrossRefGoogle ScholarPubMed
2Jones, JE, Nguyen, A, Tabaee, A. Pyogenic granuloma (pregnancy tumor) of the nasal cavity. A case report. J Reprod Med 2000;45:749–53Google ScholarPubMed
3Kapella, M, Panosetti, E, Rombaux, P, Delos, M, Weynand, B. Lobular capillary haemangioma of the nasal cavity: observation of three specific cases. Acta Otorhinolaryngol Belg 2001;55:241–6Google ScholarPubMed
4Choudhary, S, MacKinnon, CA, Morrissey, GP, Tan, ST. A case of giant nasal pyogenic granuloma gravidarum. J Craniofac Surg 2005;16:319–21CrossRefGoogle ScholarPubMed
5Lim, IJ, Singh, K, Prasad, RN, Chan, HL, Lam, RS, Ratnam, SS. Pregnancy tumour of the nasal septum. Aust N Z J Obstet Gynaecol 1994;34:109–10CrossRefGoogle ScholarPubMed
6Simic, R, Vlahovic, A, Subarevic, V. Treatment of nasal hemangiomas. Int J Pediatr Otorhinolaryngol 2009;73:1402–6CrossRefGoogle ScholarPubMed
7Lance, E, Schatz, C, Nach, R, Thomas, P. Pyogenic granuloma gravidarum of the nasal fossa: CT features. J Comput Assist Tomogr 1992;16:663–4Google ScholarPubMed
8Zarrinneshan, AA, Zapanta, PE, Wall, SJ. Nasal pyogenic granuloma. Otolaryngol Head Neck Surg 2007;136:130–1CrossRefGoogle ScholarPubMed
9Frank, I, Blahd, M. Pyogenic granuloma of the nasal fossa. Arch Otolaryngol 1940;31:919–24CrossRefGoogle Scholar
10Nichols, GE, Gaffey, MJ, Mills, SE, Weiss, LM. Lobular capillary hemangioma. An immunohistochemical study including steroid hormone receptor status. Am J Clin Pathol 1992;97:770–5CrossRefGoogle ScholarPubMed
11Puxeddu, 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;20:480–4CrossRefGoogle ScholarPubMed
12Scott, PM, van Hasselt, A. Case report of a bleeding nasal polyp during pregnancy. Ear Nose Throat J 1999;78:592CrossRefGoogle ScholarPubMed