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Pediatric nasal lobular capillary hemangioma
Jordan M Virbalas1, John P Bent, Sanjay R Parikh
1Department of Otorhinolaryngology-Head & Neck Surgery, Albert Einstein College of Medicine, 3400 Bainbridge Avenue, 3rd Floor, Bronx, NY 10467, USA.
Case Reports in Medicine
|August 25, 2012
Summary
Lobular capillary hemangioma (LCH) is a benign vascular growth. This study reports two pediatric cases of nasal LCH, highlighting image-guided endoscopic excision as an effective treatment.
Area of Science:
- Vascular Biology
- Dermatology
- Otolaryngology
Background:
- Lobular capillary hemangioma (LCH), previously termed "human botryomycosis" or "pyogenic granuloma," is a benign vascular proliferation.
- LCH commonly affects the head and neck, with pathogenesis potentially involving inflammatory responses influenced by endocrine factors.
- Nasal LCH is rare, presenting challenges in diagnosis and management.
Purpose of the Study:
- To review the histopathology and epidemiology of LCH.
- To report two new cases of pediatric nasal LCH.
- To discuss current theories on the etiology, diagnosis, and treatment of nasal LCH.
Main Methods:
- Retrospective case series analysis.
- Review of histopathology and epidemiological data.
- Surgical excision of nasal masses using image-guided transnasal endoscopic techniques.
Main Results:
- Two adolescent females presented with epistaxis, nasal obstruction, and epiphora due to intranasal LCH.
- Computed tomography imaging and biopsy confirmed the diagnosis.
- Image-guided endoscopic excision was successfully performed.
Conclusions:
- Nasal LCH is an uncommon cause of intranasal masses in children, presenting with unilateral epistaxis, obstruction, and epiphora.
- Image-guided endoscopic excision is advocated for adolescent nasal LCH.
- Further research into LCH pathogenesis and endocrine influences is warranted.
