Nasal cavity lobular capillary hemangioma due to insect sting

Summary Introduction Lobular capillary hemangioma is a frequent benign vascular inflammatory lesion of the skin tissue. It rarely reaches the mucous membrane, and the nasal fossa involvement is exceptional. Case report A 68-year-old woman presented with an ulcerous hemorrhagic mass blocking the left...

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Veröffentlicht in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2012-10, Vol.129 (5), p.278-280
Hauptverfasser: Derkenne, R, Coulet, O, Varoquaux, A, de Biasi, C, Tomasi, M
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container_issue 5
container_start_page 278
container_title European annals of otorhinolaryngology, head and neck diseases
container_volume 129
creator Derkenne, R
Coulet, O
Varoquaux, A
de Biasi, C
Tomasi, M
description Summary Introduction Lobular capillary hemangioma is a frequent benign vascular inflammatory lesion of the skin tissue. It rarely reaches the mucous membrane, and the nasal fossa involvement is exceptional. Case report A 68-year-old woman presented with an ulcerous hemorrhagic mass blocking the left nasal fossa, which had appeared a few weeks after a wasp sting in the nose. The insect was evacuated only three weeks after the sting. The clinical and radiological data suggested malignancy. Biopsy under local anesthesia proved non-contributory and was complicated by 1 week's hospitalization for severe nosebleed. Surgical excision under video-endoscopy confirmed diagnosis. At 31 months’ follow-up, the patient was free of recurrence. Discussion/conclusion The pathogeny of lobular capillary hemangioma is uncertain. No previous cases affecting the mucous membrane after insect sting have been reported. Except in the typical contexts of long-term packing or pregnancy, diagnosis can be difficult and misleading. It can mimic a malignant pathology. Its rich vascularization requires caution during biopsy, and the risk of recurrence requires excision to be complete.
doi_str_mv 10.1016/j.anorl.2011.10.005
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subjects Aged
Animals
Diagnosis, Differential
Female
Follow-Up Studies
Granuloma, Pyogenic - diagnosis
Granuloma, Pyogenic - etiology
Granuloma, Pyogenic - surgery
Humans
Insect Bites and Stings - complications
Lobular capillary hemangioma
Nasal cavity
Nasal Cavity - diagnostic imaging
Nasal Cavity - pathology
Nasal Cavity - surgery
Nasal foreign body
Nose Diseases - diagnosis
Nose Diseases - etiology
Nose Diseases - surgery
Otolaryngology
Pyogenic granuloma
Radiography
Treatment Outcome
Wasps
title Nasal cavity lobular capillary hemangioma due to insect sting
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