Fig 3 - uploaded by Kafui PATRICK Akakpo
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Nasal lobular capillary haemangiomata are rare benign nasal tumours of vascular origin and unknown etiology. They tend to occur in both sexes depending on the age group. They usually present with unilateral nasal obstruction and recurrent epistaxis. They are usually treated by excision after having embolized the feeding vessel. We present a case of...
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... 48 hours. Two months after the procedure patient is asymptomatic and breathes comfortably through the nose. Histology revealed an ulcerated polyp with lobular architecture. The lobules were composed of network of proliferating capillaries and mixed inflammatory infiltrates mainly of lymphocytes, plasma cells and neutrophils (Fig. 3). Lobular capillary haemangioma is a benign, painless, rapidly growing papule or polyp mostly found on the skin and mucosal surfaces. More commonly it is found in the head and neck region. The nasal type is rare as found in this patient. These haemangiomas tend to regress with time except those which are frequently traumatized like on the buttocks and those related to vital structures like the nose, eyes and mouth [7,8]. These tumours were initially called ‘ Pyogenic granuloma.' They had in 1897 been described as small vascular tumours of fungal origin by Poncet and Dor [3]. Our suspicion of a fungal sinusitis in our patient's case might have been justified. Later the term ‘ Pyogenic granuloma' was found to be a misnomer in that these haemangiomas were neither infectious nor granulomatous. The name was ‘corrected' in 1980 by Mills et al. They termed it ‘Lobular capillary haemangioma.' [1]. It was found that the lesion was comprised of lobular capillary proliferation with ...
