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KMID : 0361020000430040402
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 4 p.402 ~ p.405
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Clinical Study of Lobular Capillary Hemangioma in Nasal Cavity
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Park Seong-Kook
Cho Hong-Wook
Jang Seong-Ho
Park Choon-keun
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Abstract
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Background and Objectives : Lobular capillary hemangioma (pyogenic granuloma) is a benign rapidly
growing hemorrhagic lesion of unknown etiology and vascular proliferation of endothelial cells arranged in
a characteristic pattern of circumscribed capillaries arranged in lobules. The disease usually affects the
skin and the oral mucosa, but nose is a relatively rare location. The clinical impression of some lesions
can often be misleading due to easy bleeding mass. The purpose of this paper is to present a series of
patients seen over a period of 10 year at Inje University Pusan Paik Hospital with nasal capillary
hemangioma.
Materials and Method : We assessed 19 patients who were confirmed as lobular capillary hemangioma
histopathologically and treated at Inje University Pusan Paik Hospital from 1988 to 1998.
Results : The study group was composed of 19 patients including nine males and ten females. The ages
ranged from 3 to 58 years, with a mean of 36.6 year and four of the ten female patients were pregnant.
Epistaxis with nasal obstruction was the most marked symptom. Eight lesions arose from the nasal
septum, 7 from the inferior turbinates, 3 from the lateral nasal wall and one from the nasal floor. The
size of masses ranged within 1 cm in 11 of the 19 cases. All patients were treated by simple excision
and electrocauterization, with only one showing recurrence.
Conclusion : Uncommon lesions should also be considered in the differential diagnosis of a rapidly
growing hemorrhagic lesion if they are within the nasal cavity. Clinical and histological diagnostic pitfalls
occur frequently.
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KEYWORD
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Lobular capillary hemangioma, Nasal cavity
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