title: Benign sinonasal capillary haemangioma.
abstract: Haemangiomas are benign fibrovascular tumours relatively that are common in the head and neck, where 60% of them occur Among the various categories of haemangiomas, lobular capillary haemangiomas (LCH) occur frequently on the skin, lips, buccal mucosa, tongue and gingiva. However, they are vanishingly rare in the paranasal sinuses. The imaging features of LCH are non-specific. The histological characteristics of LCH can also make diagnosis difficult as sometimes resemble highly vascular malignant tumours. This leads to the false preoperative diagnosis of suspected malignancy in many cases, which places the patient under unnecessary distress and anxiety. We present a case of LCH appearing as a suspicious nasal lesion of the lateral nasal wall with unilateral nasal obstruction, necrotic centre and epistaxis. The tumour was excised endoscopically in one operation including endoscopic medial maxillectomy. Further education about this lesion is deemed important as preoperative embolisation may be needed for a safe operation.
authors.affiliation: Peninsula College of Medicine & Dentistry, Plymouth, Devon, UK.
authors.forename: Darren
authors.initials: D
authors.lastname: Stubbs
authors.affiliation: Department of ENT, Plymouth Hospitals NHS Trust, Plymouth, Devon, UK.
authors.forename: Aristotelis
authors.initials: A
authors.lastname: Poulios
authors.affiliation: Plymouth University, Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, UK.
authors.forename: Hisham
authors.initials: H
authors.lastname: Khalil
mesh_terms: D000368:Aged; D004844:Epistaxis / Q000209:etiology; D005260:Female; D018324:Hemangioma, Capillary / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008444:Maxillary Sinus Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D015508:Nasal Obstruction / Q000209:etiology; D009669:Nose Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery