Endoscopic Endonasal Surgery for Two Cases of Giant Nasal Lobular Capillary Hemangiomas

Abstract

Lobular capillary hemangioma (LCH) is a benign lesion originating in the vascular tissue of skin and mucosa. LCH rarely involves nasal cavity (LCHNC). Complete surgical excision is the treatment of choice. The endoscopic endonasal surgery (EES) technique can achieve good cosmetic results by avoiding external incision. In a patient with a rapidly growing intranasal lesion, LCH should be considered as a differential diagnosis. Rapid growth, epistaxis, and its gross findings often mimic malignancy. Histologic confirmation is inevitable. In this report, we present two patients with huge LCH and discussed the clinical, radiological and histological characteristics of LCHNC, and its treatment.




J Med Cases. 2013;4(1):34-38
doi: https://doi.org/10.4021/jmc873w