INTRODUCTION Nasal lobular haemangioma is a rare benign tumour of the Sino nasal tract 1. The exact aetiology of this condition is unknown. Though Head and Neck is the most common location of these tumours, involvement of Sino nasal tract is very rare. The most common sites of these tumours are gingiva, lips and tongue. These are rapidly growing hyper vascular lesions. The clinical features, radiological features and pathological findings are described in Manuscript Click here to download Manuscript: NASAL LOBULAR CAPILLARY HAEMANGIOMA A RARE CASE REPORT.docx this report to differentiate it from other common pathologies like, angiofibroma and Sino nasal angiomatous polyposis. CASE REPORT 15 years old female patient presented to the Department …show more content…
CT scan of the patient revealed a lobulated, well-circumscribed, intensely enhancing soft-tissue mass filling the left nasal cavity. Epicentre of the lesion was seen to be in the nasal cavity and it was closely attached to the middle turbinate with no erosion or remodelling of underlying bones. A diagnosis of haemangioma or angiofibroma was made. (Figure 1 & 2) Diagnostic nasal endoscopy was done, which revealed a polypoidal mass attached to the middle turbinate. Endoscopy assisted mass excision was planned. Polypoidal mass found attached to the middle turbinate was slowly removed with cauterization of the stalk was done. (Figure 3) The removed mass consisted of polypoidal bits of tissue measuring 3 cm × 2 cm × 1 cm. Microscopic examination revealed polypoidal bits covered partly by stratified squamous epithelium and partly by pseudo-stratified epithelium with focal ulceration. The underlying stroma shows dense fibrosis and lobules of small capillaries lined by flattened epithelium and filled with blood. The surrounding inflammatory infiltrate comprised of lymphocytes, eosinophil, plasma cells, and neutrophils these findings led to a diagnosis of lobular
Proliferating lesions are often compressible, but fairly firm. Many deep hemangiomas may have a few superficial capillaries visible evident over the primary deep component or surrounding venous prominence. Deep hemangiomas have a tendency to develop a little later than superficial hemangiomas and may have longer and later proliferative phases as well. Deep hemangiomas rarely ulcerate, but can cause issues depending on their location, size and growth. Deep hemangiomas near sensitive structures can cause compression of softer surrounding structures during the proliferative phase, such as the external ear canal and the eyelid.
A life experience made me strong, but because I was so young, I do not remember going through it, just the after math of how it changed my life. When I was almost two years old my aunt was tickling me and she saw a bump under my throat area. She showed my parent and I was taken to the doctor, where the found a cyst, a hypoglossal duct cyst The physician said this type of cyst will appear on the neck, the pocket will form in the front part of neck and fill with fluid. This kind of cyst is formed from leftover tissue from the development of the thyroid gland when an embryo is forming, the thyroid gland is located in the front of the neck and it is part of the hormone-producing glands called the endocrine system.
Normally the bone is trabecular type, however the older lesions might show mature lamellar bone, and it is not uncommon the presence of osteoid non-mineralized trabeculae. As regards the number of lesions found in the mineralized material varies from case to case (BISINELLI J.C, MARÇAL M.S, LEPREVOST J, 2005; SAMANESES D. P. C, BASTOS E.G, SILVA V.C, 2010; FRANÇA et al 2011;). Due to their clinical and histopathological similarities, some peripheral ossifying fibroma are considered pyogenic granulomas that in the initial phase suffer fibrous maturation and subsequent calcification.
The histopathology of NLCS usually shows a normal or slightly attenuated epidermis associated with dermal proliferation of mature adipocytes in the reticular dermis that may extend to papillary dermis . The adipocytes most commonly form small aggregates around blood vessels or eccrine glands, but may also be present as solitary adipocytes between collagen bundles.
It usually resolves without any sequelae. However as the amount of air continuously increases in the vault, it becomes tension pneumocephalus that can cause serious complications if untreated. As a result it is important to identified and differentiate a tension pneumocranium from a simple pneumocranium with its characteristics. Computed tomography scanning is the choice of diagnostic modality for the diagnosis of tension pneumocranium with its specific features in the scan. We present a case of 73 years old women who developed tension pneumocranium after a bifrontal craniotomy and transnasal endoscopic resection of a cribriform meningioma which was aggrevated by lumbar drainage.
Cancer.net tells that around two thousand people are being diagnosed with this cancer every year, and the cancer occurs much more often in males rather than females. Paranasal cancer develops within the tissues in the paranasal sinuses and nasal cavities. It creates a tumor which can be removed through many types of surgery depending
The pharynx is a muscular tube that extends supero-inferiorly from the base of the cranium to the level of the inferior surface of the body of the sixth cervical vertebra. The pharynx lies dorsal to the nasal cavity, the oral cavity and the larynx. The nasal portion of the nasopharynx has bony elements in its wall and thus it is rigid, whereas the pharyngeal portion is contractile as a result of the muscular nature of its wall.4 The relationship between craniofacial morphology and respiratory function has been studied extensively since the beginning of 20th century54. Some authors claim that patients with deficient respiratory functions present with lip incompetency, increased anterior face height, maxillary constriction, protruded maxillary
Sinus Endoscopy Sinus endoscopy is a procedure that looks into your sinuses. Your sinuses are air-filled spaces in your skull behind the bones of your face and forehead that open into your nasal cavity. This procedure uses an instrument called an endoscope. An endoscope is a narrow, flexible telescope with a bright light. A sinus endoscopy allows your health care provider to look into your sinuses, nose, and throat, to identify the cause of sinus problems you may be having.
Sinusitis alludes to swelling and aggravation of the sinus layers. The sinuses are empty pits through which air passes. There are four sets of sinuses situated inside of the facial bones and the skull. The frontal sinuses are situated over the eyes, the maxillary sinuses are situated inside of the cheekbones, the ethmoid sinuses are situated behind the nose span and the sphenoid sinuses are situated in the upper part of the nose, behind the eyes. The sinuses are associated with the nose.
They can also appear around the nostril cavity and may even surround the anus. Peutz-Jeghers Syndrome has
• You notice a grape-like swelling on the dividing wall between the nostrils (septum). This is a collection of blood (hematoma) that must be drained to help prevent infection. • You have difficulty moving your eyes. • You have recurrent
Nasal congestion is a feeling of blocked nose that can become a real problem impacting the quality of your life. Such congestion could lead to greater problems if left unattended, especially when the condition persists beyond the normal duration. It is important to understand the underlying conditions that cause congestion of the nose. Some conditions settle down on their own, while others will require some interventions to be alleviated. Nose congestion are usually caused by the inflammation of the thin mucous membranes that line your nasal passage.
Another condition is Lymphangiomaosis which is a disease that involves multiple cysts or lesions form from lymphatic vessels
Out of these 17 (40.48% of chondroblastomas, or 5.28% of bone tumors) involved the calcaneus and 20 (47.62% of chondroblastomas, or 6.21% of bone tumors) involved the talus.(1) However the calcaneum involvement was only 6 (5.77%) out of 104 cases in one review by Bloem et al (4), and 0 out of 70 cases in another series by Turcotte et al (5). Chondroblastomas can be associated with aneurysmal bone cyst in 10-15% of cases. This association is more common in patients older than 20 years.(2) The identification of chondroblastoma with secondary ABC is important as it has more chance of recurrence than chondroblastoma.(1)