[The monthly interesting case -- case no. 64. Cavernous hemangioma]

Area of Science:

• Otolaryngology
• Vascular Surgery
• Pathology

Background:

• Nasal tumors can present with significant symptoms like epistaxis and congestion.
• Cavernous hemangiomas are rare vascular malformations that can occur in the nasal cavity.
• Tumors in the posterior nasal cavity pose surgical challenges.

Observation:

• An 89-year-old female presented with severe right-sided epistaxis and nasal congestion.
• Endoscopic examination revealed a large, reddish-blue tumor occupying the posterior nasal cavity.
• Magnetic Resonance Imaging (MRI) demonstrated a highly vascularized tumor.

Findings:

• Transnasal endoscopic surgery successfully removed the tumor completely.
• Histopathologic examination confirmed the tumor as a cavernous hemangioma.
• The cavernous hemangioma was located at the posterior end of the right turbinate, a rare site.

Implications:

• This case highlights the importance of considering rare vascular tumors in the differential diagnosis of nasal masses.
• Transnasal endoscopic surgery is a viable and effective approach for removing such tumors.
• Early diagnosis and surgical intervention can lead to favorable outcomes for patients with nasal cavernous hemangiomas.