Giant Lobular Capillary Hemangioma of the Nasal Septum

Authors: SELAHATTİN GENÇ, Ş. SİNAN KÜRKÇÜOĞLU, HAYRİYE KARABULUT, BARAN ACAR, ÜMİT TUNÇEL, SEMİH DEĞERLİ

Abstract: Lobular capillary hemangioma is a benign, rapidly growing lesion of the skin and mucous membranes. It may rarely present as a mass of considerable size and thus entirely fill the nasal cavity; such lesions have been termed giant lobular capillary hemangioma. Its etiology remains obscure. Although it has no predilection for age, it is more common in the third decade and in females. Lobular capillary hemangioma usually involves the gingiva, lips, tongue, and buccal mucosa. However, the nasal cavity is a rare location for this lesion. The most common symptoms are epistaxis and nasal obstruction. The treatment of choice is endoscopic surgery even for large lesions because it does not require preoperative embolization. In this report, we present a 31-year-old male patient with giant lobular capillary hemangioma presented with epistaxis and nasal obstruction. We emphasize that the rarely seen giant lobular capillary hemangioma must be kept in mind in the differential diagnosis of a rapidly growing mass of the nasal cavity, and we discuss the treatment approach.

Keywords: Giant lobular capillary hemangioma, nasal septum, nasal obstruction, epistaxis, endoscopic surgery

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