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Sinonasal Hemangioma
Yoshimi Anzai, MD, MPH
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Lobular capillary hemangioma (LCH) (old term: Pyogenic granuloma)
                  • Misnomer: No evidence for infectious origin & granulation tissue not present histologically
                • Other archaic terms: Telangiectatic granuloma, granuloma pedunculatum, human botryomycosis
              • Definitions

                • LCH: Benign capillary proliferation with microscopically distinct lobular architecture affecting skin and mucous membranes of oral cavity & nasal region
                • Controversial etiology: Reactive vs. benign neoplasm unclear

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          Selected References

                                          1. Kim JH et al: Computed tomography and magnetic resonance imaging findings of nasal cavity hemangiomas according to histological type. Korean J Radiol. 16(3):566-74, 2015
                                          2. Stubbs D et al: Benign sinonasal capillary haemangioma. BMJ Case Rep. 2014, 2014
                                          3. Su K et al: Pedunculated cavernous hemangioma originating in the olfactory cleft. Ear Nose Throat J. 93(9):E29-33, 2014
                                          4. Zou J et al: CT and MR imaging findings of sinonasal angiomatous polyps. Eur J Radiol. 83(3):545-51, 2014
                                          5. Vargas MC et al: Sinonasal cavernous haemangioma: a case report. Dentomaxillofac Radiol. 41(4):340-1, 2012
                                          6. Benoit MM et al: Lobular capillary hemangioma of the nasal cavity in a five-year-old boy. Otolaryngol Head Neck Surg. 142(2):290-1, 2010
                                          7. Song CE et al: Endoscopic resection of haemangiomas in the sinonasal cavity. J Laryngol Otol. 123(8):868-72, 2009
                                          8. Waner M et al: Hemangiomas of the nose: surgical management using a modified subunit approach. Arch Facial Plast Surg. 10(5):329-34, 2008
                                          9. Puxeddu R et al: Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients. Am J Rhinol. 20(4):480-4, 2006
                                          10. Schlosser RJ et al: Endoscopic resection of sinonasal hemangiomas and hemangiopericytomas. ORL J Otorhinolaryngol Relat Spec. 68(2):69-72, 2006
                                          11. Hochman M et al: Management of nasal hemangiomas. Arch Facial Plast Surg. 7(5):295-300, 2005
                                          12. Rallis E et al: Lobular capillary hemangioma of the nasal cavity. J Otolaryngol. 34(3):194-5, 2005
                                          13. Iwata N et al: Hemangioma of the nasal cavity: a clinicopathologic study. Auris Nasus Larynx. 29(4):335-9, 2002
                                          14. Dillon WP et al: Hemangioma of the nasal vault: MR and CT features. Radiology. 180(3):761-5, 1991
                                          15. Zizmor J et al: Hemangioma of the nasal bones: radiographic appearance. Ann Otol Rhinol Laryngol. 87(3 Pt 1):360-3, 1978
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Lobular capillary hemangioma (LCH) (old term: Pyogenic granuloma)
                                                          • Misnomer: No evidence for infectious origin & granulation tissue not present histologically
                                                        • Other archaic terms: Telangiectatic granuloma, granuloma pedunculatum, human botryomycosis
                                                      • Definitions

                                                        • LCH: Benign capillary proliferation with microscopically distinct lobular architecture affecting skin and mucous membranes of oral cavity & nasal region
                                                        • Controversial etiology: Reactive vs. benign neoplasm unclear

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  Selected References

                                                                                  1. Kim JH et al: Computed tomography and magnetic resonance imaging findings of nasal cavity hemangiomas according to histological type. Korean J Radiol. 16(3):566-74, 2015
                                                                                  2. Stubbs D et al: Benign sinonasal capillary haemangioma. BMJ Case Rep. 2014, 2014
                                                                                  3. Su K et al: Pedunculated cavernous hemangioma originating in the olfactory cleft. Ear Nose Throat J. 93(9):E29-33, 2014
                                                                                  4. Zou J et al: CT and MR imaging findings of sinonasal angiomatous polyps. Eur J Radiol. 83(3):545-51, 2014
                                                                                  5. Vargas MC et al: Sinonasal cavernous haemangioma: a case report. Dentomaxillofac Radiol. 41(4):340-1, 2012
                                                                                  6. Benoit MM et al: Lobular capillary hemangioma of the nasal cavity in a five-year-old boy. Otolaryngol Head Neck Surg. 142(2):290-1, 2010
                                                                                  7. Song CE et al: Endoscopic resection of haemangiomas in the sinonasal cavity. J Laryngol Otol. 123(8):868-72, 2009
                                                                                  8. Waner M et al: Hemangiomas of the nose: surgical management using a modified subunit approach. Arch Facial Plast Surg. 10(5):329-34, 2008
                                                                                  9. Puxeddu R et al: Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients. Am J Rhinol. 20(4):480-4, 2006
                                                                                  10. Schlosser RJ et al: Endoscopic resection of sinonasal hemangiomas and hemangiopericytomas. ORL J Otorhinolaryngol Relat Spec. 68(2):69-72, 2006
                                                                                  11. Hochman M et al: Management of nasal hemangiomas. Arch Facial Plast Surg. 7(5):295-300, 2005
                                                                                  12. Rallis E et al: Lobular capillary hemangioma of the nasal cavity. J Otolaryngol. 34(3):194-5, 2005
                                                                                  13. Iwata N et al: Hemangioma of the nasal cavity: a clinicopathologic study. Auris Nasus Larynx. 29(4):335-9, 2002
                                                                                  14. Dillon WP et al: Hemangioma of the nasal vault: MR and CT features. Radiology. 180(3):761-5, 1991
                                                                                  15. Zizmor J et al: Hemangioma of the nasal bones: radiographic appearance. Ann Otol Rhinol Laryngol. 87(3 Pt 1):360-3, 1978