Abstract
Lobular Capillary Hemangioma (LCH) is a benign, rapidly growing, vascular lesion of the skin and mucous membranes. It usually involves lips, gingiva, tongue and buccal mucosa. Involvement of nasal cavity is a rare presentation. In the nasal cavity, anterior part of nasal septum is the most frequently affected site. It commonly occurs in the third decade, and in females. The etiology until now remains obscure. The usual presenting symptoms are nasal obstruction and epistaxis. Endoscopic surgical excision is the preferred treatment of choice. In the present case, we describe a 14-year old male with left sided nasal obstruction due to a growing mass in the left nasal cavity. This case is reported for its rarity, and typical clinical and microscopic findings.
Highlights
Capillary hemangioma is a benign neoplasm of vascular origin with endothelial proliferation
Lobular Capillary Hemangioma (LCH) is a polypoidal form of capillary hemangioma, which occurs on mucosal surfaces, such as oral and nasal cavity, tongue, conjunctiva, duodenum or colon
Multiple lobules of small blood vessels are seen which are lined by endothelial cells and thick muscular blood vessels are seen in the central stroma - diagnosed as lobular capillary hemangioma (Figure 3)
Summary
Capillary hemangioma is a benign neoplasm of vascular origin with endothelial proliferation. LCH is a polypoidal form of capillary hemangioma, which occurs on mucosal surfaces, such as oral and nasal cavity, tongue, conjunctiva, duodenum or colon. LCH occurs at all ages, more often in the third decade, and is commoner in females. The lesion is solitary, hypervascularised, reddish, pedunculated or wide based, ranging from several millimeters to centimeters in size.[3] The most common symptoms are unilateral nasal blockage due to proliferating lesion and secondly epistaxis, which is related to the rich vascularity of the lesion.[4] By radiographic evaluation with the help of computed tomography (CT) scan, the size of the tumor and the degree of its invasion into adjacent structures can be assessed which later helps in better surgical planning
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