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Epithelioid hemangioma from inferior turbinate in a pediatric patient: a case report
Mayar Alsaqr1, Laila Aldokhail2, Enar Alotaibi2
1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, King Saud University Medical City, King Abdulaziz University Hospital, Al Malaz District, Riyadh 11411, PO Box 245, Saudi Arabia.
Abstract:
Epithelioid haemangioma is a rare benign vasoproliferative lesion that commonly affects the head and neck region but is exceptionally uncommon within the nasal cavity, particularly in children. We report a 5-year-old previously healthy child presenting with recurrent left-sided epistaxis associated with progressive anemia. Nasal endoscopy demonstrated a vascular mass arising from the inferior turbinate, while computed tomography revealed a localized polypoid lesion without bony destruction. The patient underwent endoscopic excision with partial inferior turbinectomy, and histopathological examination confirmed epithelioid hemangioma with CD31 positivity. The postoperative course was uneventful, with complete resolution of symptoms and no recurrence during 1 year of follow-up. This case highlights the importance of considering rare vascular tumors in children presenting with persistent unilateral epistaxis.