Vascular Nasal-Cavity Leiomyoma with Recurrent Epistaxis
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Abstract:
We report a case of vascular leiomyoma of the nasal cavity. A 90-year-old woman visited our hospital because of recurrent epistaxis, and she was found in fiberscopy and computed tomography to have a well-defined spherical submucosal mass in the left nasal vestibule. The lesion showed low intensity in T1- and intermediate intensity in T2-weighted magnetic resonance imaging, with homogeneous intense gadolinium enhancement. The tumor was excised in a transnasal approach using an ultrasonic scalpel. Histopathological and immunohistochemical findings yielded a definitive diagnosis of venous vascular leiomyoma. Vascular leiomyoma should be considered in the differential diagnosis of any well-circumscribed, hypervascular, soft-tissue mass arising in the submucosal tissue of the nasal cavity.Keywords:
Nasal vestibule
Vestibule
<p>The presence of a nasal vestibule mass can be challenging in obtaining diagnosis and treatment due to the features of nasal vestibule. There are various types of diseases that can involve the nasal vestibule. Here, we presented the case of a patient with swelling of the right nasal vestibule and was incidentally diagnosed histopathologically as trichofolliculoma, a rare skin lesion. We discussed the characteristics of trichofolliculoma disease and presented a diagnosis, necessary treatment of this case and related literature review.</p>
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Various types of diseases can involve the nasal vestibule. Diagnosis and treatment of a nasal vestibular mass is often challenging due to the anatomical features of the nasal vestibule. Here, we present four cases with nasal vestibular masses. Two cases were diagnosed as squamous papillomas. The others were a trichofolliculoma and pseudoepitheliomatous hyperplasia with hyperkeratosis. Our aim was to discuss the characteristics of each disease and the considerations thought to be necessary for diagnosis and treatment of nasal vestibular tumors from these cases and the related literature.
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Darier's disease
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Concha bullosa (CB) is the pneumatization of the middle turbinate. Although CB alone is usually asymptomatic, CB may be so extensive that it can come into intimate contact with large areas of the nasal septum and the lateral wall of the middle meatus, predisposing the patient to nasal obstruction and recurrent headaches. Herein, we report an uncommon case of huge CB extending to the nasal vestibule and occluding the whole nasal cavity. (J Clinical Otolaryngol 2019;30:97-99)
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Concha bullosa
Vestibule
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Turbinates
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Objective: To analyze the clinical characteristics of nasal vestibule masses. Methods: We retrospectively ana- lyzed the clinical data of 89 cases of nasal vestibule masses treated during the period of July 1998-May 2012. Results: The 89 cases of nasal vestibule masses all had benign lesions. Among them, 82 cases had nasal vestibule cysts, 4 cases had papilloma, 1 case had non-specific inflammatory mass, 1 case had neurilemmoma, and 1 case had fibroma. All pa- tients were treated by surgery, without intraoperative and postoperative complications. One case of papilloma had recur- rence 1 year after the surgery, and was cured after the second surgery. Conclusion: Nasal vestibule masses are mostly benign lesions, and surgery is the preferred treatment.
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Vestibule
Inverted Papilloma
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Angiofibroma
Nasal vestibule
Vestibule
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The difference between the spectra of potential bacterial pathogens (PBPs) in the nasal vestibule and cavity has not been taken into account in clinical studies.Since one can anticipate different flora in different kinds of mucosae, the authors compared bacterial species in the vestibule with those of the cavity.A total of 534 healthy male clerical workers in a downtown Lucerne office building were examined with fractionated swabs.PBPs, notably Staphylococcus aureus, were found in 412 subjects and surprisingly, differences in flora of the two sites were noted in 130 of them: PBPs were observed in the vestibule and not in the cavity in 85 of the subjects, and in 45 of them, the reverse was true.The practical implications of these findings are considerable regarding infection control in patients at increased infection risk.
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Vestibule
Flora
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Vestibule
Nostril
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Vascular leiomyoma (angioleiomyoma) of the nasal cavity is an extremely rare tumour. Following a thorough review of relevant literature, we found that such tumours are more common in females. Only 4 of 30 reported cases have been found in male patients. Moreover, considering the site of the lesion within the nasal cavity, only 3 of these 30 cases originated from the nasal vestibule. Hereby, we present a case of vascular leiomyoma arising specifically from the floor of the nasal vestibule in a 68-year-old man, which is unique because it combines the specific tumour localization with the patient's gender.The patient was treated surgically. The tumour was completely removed through an intraoral incision.This is the first reported case of vascular leiomyoma arising from the floor of the nasal vestibule affecting a male patient.
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Angioleiomyoma
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