GIANT HAEMANGIOMA OF NASOPHARYNX: A RARE CASE OUTCOME
AbstractA 60 year old female presented to us with a 5 year history of progressive right sided nasal obstruction and recurrent epistaxis. On examination lesion was seen in the right nostril which was firm and bled on probing. CT-scan paranasal sinuses showed a right sided lesion of nose and nasopharnyx obstructing posterior nasal choanae. Dimensions were reported to be 9 x 4.1 x 3.8cm. A punch biopsy was taken in operating room under general anesthesia which resulted in profuse bleeding. Suction cautery was used to control bleeding and the nose was packed. The mass was firm to hard and provided resistance during the time of biopsy. On second post-operative day the mass visibly changed its color and became blackish in appearance. Patient had an episode of cough in the evening and expelled out the entire mass orally. A 60-year-old female presented to us with a 5-year history of progressive right sided nasal obstruction and recurrent epistaxis. On examination lesion was seen in the right nostril which was firm and bled on probing. CT-scan paranasal sinuses showed a right sided lesion of nose and naso-pharnyx obstructing posterior nasal choanae. Dimensions were reported to be 9×4.1×3.8 cm. A punch biopsy was taken in operating room under general anaesthesia which resulted in profuse bleeding. Suction cautery was used to control bleeding and the nose was packed. The mass was firm to hard and provided resistance during the time of biopsy. On second post-operative day, the mass visibly changed its colour and became blackish in appearance. Patient had an episode of cough in the evening and expelled out the entire mass orally.Keywords: Hemangioma; Head and neck; Otolaryngology
Su K, Zhang W, Shi H, Yin S. Pedunculated cavernous hemangioma originating in the olfactory cleft. Ear Nose Throat J 2014;93(9):E29–33.
Kovalerchik O, Husain Q, Mirani NM, Liu JK, Eloy JA. Endoscopic nonembolized resection of an extensive sinonasal cavernous hemangioma: A case report and literature review. Allergy Rhinol (Providence) 2013;4(3):e179–83.
Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 1982;69(3):412–22.
Shpitzer T, Noyek AM, Witterick I, Kassel T, Ichise M, Gullane P, et al. Noncutaneous cavernous hemangiomas of the head and neck. Am J Otolaryngol 1997;18(6):367–74.
Caylakli F, Cagici AC, Hurcan C, Bal N, Kizilkilic O, Kiroglu F. Cavernous hemangioma of the middle turbinate: a case report. Ear Nose Throat J 2008;87(7):391–3.
Webb CJ, Porter G, Spencer MG, Sissons GRJ. Cavernous haemangioma of the nasal bones: an alternative management option. J Laryngol Otol 2000;114(4):287–9.
Iwata N, Hattori K, Nakagawa T, Tsujimura T. Hemangioma of the nasal cavity: a clinicopathologic study. Auris Nasus Larynx 2002;29(4):335–9.
Dillon WP, Som PM, Rosenau W. Hemangioma of the nasal vault: MR and CT features. Radiology 1991;180(3):761–5.
Batsakis JG, Rice DH. The pathology of head and neck tumors: vasoformative tumors, part 9A. Head Neck Surg 1981;3(3):231–9.
Itoh K, Nishimura K, Togashi K, Fujisawa I, Nakano Y, Itoh H, et al. MR imaging of cavernous hemangioma of the face and neck. J Comput Assist Tomogr 1986;10(5):831–5.
Biller HF, Krespi YP, Som PM. Combined therapy for vascular lesions of the head and neck with intra-arterial embolization and surgical excision. Otolaryngol Head Neck Surg 1981;90(1):37–47.
Kelley TF. Endoscopic management of an intranasal hemangioma: A case report and literature review. Otolaryngol Head Neck Surg 2003;128(4):595–7.
Jungheim M, Chilla R. The monthly interesting case--case no. 64. Cavernous hemangioma. Laryngorhinootologie 2004;83(10):665–8.
Eloy JA, Vivero RJ, Hoang K, Civantos FJ, Weed DT, Morcos JJ, et al. Comparison of transnasal endoscopic and open craniofacial resection for malignant tumors of the anterior skull base. Laryngoscope 2009;119(5):834–40.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.