title: Mucosal cavernous hemangioma of the maxillary sinus.
abstract: Mucosal cavernous hemangiomas of maxillary sinus and the lateral nasal wall are seldom encountered and difficult to diagnose with misleading radiologic features like bone erosion and heterogeneity due to patchy contrast uptake. The overall picture mimicking sinonasal malignancy, it is unclear whether there is true breach in the bone or remodeling due to the lesion's chronicity. Interestingly, it often does not bleed as expected during surgery, questioning the use of therapeutic embolization and pre-intervention vascular shrinkage. The clinical presentation and management protocol of sinonasal cavernous hemangiomas seem greatly individualized. We here present a patient with cavernous hemangioma of maxillary sinus and discuss the distinguishing clinical, histologic and imaging characteristics and subsequent management options, and attempt to establish the findings as the basis of considering it as an important differential diagnosis of radiologically heterogeneous sinonasal mass with suspected bone erosions presenting with nasal obstruction and epistaxis, mostly in young women.
authors: Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, West Bengal, India. duttamainak@yahoo.com.
authors: Mainak
authors: M
authors: Dutta
authors: Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, West Bengal, India.
authors: Sohag
authors: S
authors: Kundu
authors: Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, West Bengal, India.
authors: Sabyasachi
authors: S
authors: Barik
authors: Department of Otorhinolaryngology and Head-Neck Surgery, Midnapore Medical College and Hospital, Midnapore, West Bengal, India.
authors: Shoham
authors: S
authors: Banerjee
authors: Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, West Bengal, India.
authors: Subrata
authors: S
authors: Mukhopadhyay
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D003287:Contrast Media; D004724:Endoscopy; D004844:Epistaxis; D005260:Female; D006392:Hemangioma, Cavernous / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008443:Maxillary Sinus / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D003287:Contrast Media