title: Lobular capillary hemangioma of the nasal cavity: a retrospective study of 15 cases in taiwan.
abstract: BACKGROUND
  Lobular capillary hemangioma of the nasal cavity is an uncommon benign vascular tumor of unknown etiology. There have been only very few case reports in Taiwan.
  
  
  OBJECTIVE
  This study aimed to analyze the clinical features, radiological findings, treatment modalities, and outcome of lobular capillary hemangioma treated at a teaching hospital in Taiwan during a period of 10 years.
  
  
  METHODS
  Descriptive study.
  
  
  METHODS
  Retrospective chart reviews were performed on patients who were diagnosed with lobular capillary hemangioma of the nasal cavity at Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, from January 2003 to December 2012. Data retrieved included age, gender, clinical symptoms, computed tomography (CT) findings, treatment modalities, and outcome for further analysis.
  
  
  RESULTS
  Of the 15 patients identified, there were five males and ten females ranging from 17 to 86 years of age, with a mean age of 43.8±20.2. Epistaxis was the most common presenting symptom. All patients presented a unilateral nasal lobular capillary hemangioma. The most commonly affected site was the anterior nasal septum, followed by the inferior turbinate, vestibule, middle turbinate, and posterior nasal septum. All lesions presented as soft tissue density without bony erosions under CT examination. Endoscopic excisional surgery (n=12) or classical local excision (n=3) was performed for complete removal of the hemangioma. No evidence of recurrence was observed with 6 to 75 months of follow-up.
  
  
  CONCLUSIONS
  Lobular capillary hemangioma of the nasal cavity was usually found to occur in anterior septum with epistaxis. Complete excision with endoscopic surgery or classical local excision was recommended and recurrence can be prevented.
authors.affiliation: Department of Otolaryngology, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan ; Department of Otolaryngology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
authors.forename: Tzu-Hang
authors.initials: TH
authors.lastname: Chi
authors.affiliation: Department of Otolaryngology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
authors.forename: Chien-Han
authors.initials: CH
authors.lastname: Yuan
authors.affiliation: Department of Pathology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
authors.forename: Shang-Tao
authors.initials: ST
authors.lastname: Chien
keywords: Endoscopic surgery; epistaxis; lobular capillary hemangioma; nasal cavity