Bolous Yousef, Bullock Martin, Clarke David B, Massoud Emad
Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.
Ear Nose Throat J. 2023 Jan;102(1):NP24-NP27. doi: 10.1177/0145561320984581. Epub 2021 Jan 19.
We report a case of an intraosseous cavernous hemangioma originating from the middle turbinate that expanded into the anterior skull base, without traversing the cribriform plate.
The mass was found incidentally after a computed tomography head was ordered for unrelated reasons. On questioning, the patient denied any nasal symptoms. Magnetic resonance imaging showed an enhancing mass and the radiological imaging supported a broad differential.
The lesion was removed by endoscopic image-guided surgery, and the pathology was that of a benign intraosseous cavernous hemangioma. There was no residual hemangioma on postoperative imaging and the nasal mucosa healed well. This is the first report of an intraosseous cavernous hemangioma of the middle turbinate showing superior expansion to the anterior skull base.
This case demonstrates the extent to which cavernous hemangiomas may expand into surrounding tissues. While these lesions are uncommon, they can be considered as part of a broad differential diagnosis of sinonasal tumors.
