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 |
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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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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.</description><identifier>ISSN: 1879-7296</identifier><identifier>EISSN: 1879-730X</identifier><identifier>DOI: 10.1016/j.anorl.2011.10.005</identifier><identifier>PMID: 22921301</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>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</subject><ispartof>European annals of otorhinolaryngology, head and neck diseases, 2012-10, Vol.129 (5), p.278-280</ispartof><rights>Elsevier Masson SAS</rights><rights>2011 Elsevier Masson SAS</rights><rights>Copyright © 2011 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-9f62cb741a475cae4ce2e241626d744387c2352d7e27565b53382c743ad6493f3</citedby><cites>FETCH-LOGICAL-c459t-9f62cb741a475cae4ce2e241626d744387c2352d7e27565b53382c743ad6493f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.anorl.2011.10.005$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22921301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Derkenne, R</creatorcontrib><creatorcontrib>Coulet, O</creatorcontrib><creatorcontrib>Varoquaux, A</creatorcontrib><creatorcontrib>de Biasi, C</creatorcontrib><creatorcontrib>Tomasi, M</creatorcontrib><title>Nasal cavity lobular capillary hemangioma due to insect sting</title><title>European annals of otorhinolaryngology, head and neck diseases</title><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><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.</description><subject>Aged</subject><subject>Animals</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Granuloma, Pyogenic - diagnosis</subject><subject>Granuloma, Pyogenic - etiology</subject><subject>Granuloma, Pyogenic - surgery</subject><subject>Humans</subject><subject>Insect Bites and Stings - complications</subject><subject>Lobular capillary hemangioma</subject><subject>Nasal cavity</subject><subject>Nasal Cavity - diagnostic imaging</subject><subject>Nasal Cavity - pathology</subject><subject>Nasal Cavity - surgery</subject><subject>Nasal foreign body</subject><subject>Nose Diseases - diagnosis</subject><subject>Nose Diseases - etiology</subject><subject>Nose Diseases - surgery</subject><subject>Otolaryngology</subject><subject>Pyogenic granuloma</subject><subject>Radiography</subject><subject>Treatment Outcome</subject><subject>Wasps</subject><issn>1879-7296</issn><issn>1879-730X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1PwzAMhiMEYhPsFyChHrlsxEnatIchIcSXhOAASNyiLPVGRtuMpJ20f0_KGAcu5BLHel87fkzICdAJUMjOlxPdOF9NGAWImQml6R4ZQi6LseT0bX8XsyIbkFEISxoPz_OCFodkwFjBgFMYkumjDrpKjF7bdpNUbtZV2sfnylYx2CTvWOtmYV2tk7LDpHWJbQKaNgmtbRbH5GCuq4Cjn_uIvN5cv1zdjR-ebu-vLh_GRqRFOy7mGTMzKUALmRqNwiBDJiBjWSmF4Lk0jKeslMhkmqWzlPOcGSm4LjNR8Dk_ImfbuivvPjsMraptMBi_2KDrggJgsTKkgkYp30qNdyF4nKuVt3UcRQFVPTq1VN_oVI-uT0Z00XX606Cb1Vj-enagomC6FWAcc23Rq2AsNgZL6yMOVTr7T4OLP35T2cYaXX3gBsPSdb6JBBWowBRVz_32-uUBUAoi4_wLzcSTgA</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Derkenne, R</creator><creator>Coulet, O</creator><creator>Varoquaux, A</creator><creator>de Biasi, C</creator><creator>Tomasi, M</creator><general>Elsevier Masson SAS</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>Nasal cavity lobular capillary hemangioma due to insect sting</title><author>Derkenne, R ; Coulet, O ; Varoquaux, A ; de Biasi, C ; Tomasi, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-9f62cb741a475cae4ce2e241626d744387c2352d7e27565b53382c743ad6493f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Animals</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Granuloma, Pyogenic - diagnosis</topic><topic>Granuloma, Pyogenic - etiology</topic><topic>Granuloma, Pyogenic - surgery</topic><topic>Humans</topic><topic>Insect Bites and Stings - complications</topic><topic>Lobular capillary hemangioma</topic><topic>Nasal cavity</topic><topic>Nasal Cavity - diagnostic imaging</topic><topic>Nasal Cavity - pathology</topic><topic>Nasal Cavity - surgery</topic><topic>Nasal foreign body</topic><topic>Nose Diseases - diagnosis</topic><topic>Nose Diseases - etiology</topic><topic>Nose Diseases - surgery</topic><topic>Otolaryngology</topic><topic>Pyogenic granuloma</topic><topic>Radiography</topic><topic>Treatment Outcome</topic><topic>Wasps</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Derkenne, R</creatorcontrib><creatorcontrib>Coulet, O</creatorcontrib><creatorcontrib>Varoquaux, A</creatorcontrib><creatorcontrib>de Biasi, C</creatorcontrib><creatorcontrib>Tomasi, M</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Derkenne, R</au><au>Coulet, O</au><au>Varoquaux, A</au><au>de Biasi, C</au><au>Tomasi, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nasal cavity lobular capillary hemangioma due to insect sting</atitle><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>129</volume><issue>5</issue><spage>278</spage><epage>280</epage><pages>278-280</pages><issn>1879-7296</issn><eissn>1879-730X</eissn><abstract>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.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>22921301</pmid><doi>10.1016/j.anorl.2011.10.005</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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