Nasal Intraosseous Hemangioma: A Honeycomb Lesion

Abstract

Introduction: Hemangiomas are benign lesions of the blood vessels or vascular elements, in the nose, they are a rarity, when intraosseous, even more so. When intraosseous hemangioma, characteristic imaging may suggest this diagnosis. Keywords: Nasal hemangioma; Cavernous; Intraosseous imaging Case Presentation: We describe the case of a 48-year-old woman manifesting a solid mass in the lateral aspect of the nose. Computer tomography (CT) of the Para nasal sinuses revealed an expansive lesion of the left lateral aspect of the nose, originating from the left nasal bone (Figure 1). This lesion appeared heterogeneous with calcifications in its interior, not disturbing adjacent tissues (Figure 2). Excised in an open nasal Para lateral approach (Figure 3), pathology analysis revealed an intraosseous hemangioma. Discussion: Imaging characteristics that may contribute to the diagnosis of intraosseous hemangiomas include: a rounded unilocular with radial trabeculation lesion, with a honeycomb or soap balls pattern. Recommended treatment is surgical excision, for cure and posterior definitive histopathological diagnosis.