Iqbal Asma, Bokhari Syed Faqeer Hussain, Ahmad Syed Anwar
King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Int J Surg Case Rep. 2023 Oct;111:108894. doi: 10.1016/j.ijscr.2023.108894. Epub 2023 Oct 1.
Lobular capillary hemangioma (LCH) is a benign vascular lesion typically affecting the head and neck region, especially the nasal cavity. However, its occurrence in the nasal cavity of the pediatric population is rare, making its diagnosis and management crucial in such cases.
A 7-year-old female presented with left-sided nasal obstruction and recurrent epistaxis for 4 months. Examination revealed a dark purplish-red nasal mass, which bled easily upon probing. CT scans showed a soft tissue lesion with post-contrast enhancement. Histopathological examination confirmed lobular capillary hemangioma. The patient successfully underwent surgical excision without pre-operative embolization.
LCH affects both the skin and mucous membranes. Although its exact etiology remains debated, trauma is a leading risk factor for its development. Biopsy and radiological investigations confirm its diagnosis. Differentiating LCH from other vascular disorders with similar presentations is essential for a thorough understanding and better management. Endoscopic surgical excision combined with electrodesiccation is the treatment of choice.
Intranasal LCH in children is infrequent. An accurate diagnosis is essential for a comprehensive understanding. Surgical excision with electrodesiccation is the preferred treatment, but the role of pre-operative embolization is still under discussion.
小叶性毛细血管瘤（LCH）是一种良性血管病变，通常累及头颈部区域，尤其是鼻腔。然而，其在儿童鼻腔中的发生较为罕见，因此在这类病例中其诊断和管理至关重要。
一名7岁女性因左侧鼻塞和反复鼻出血4个月就诊。检查发现鼻腔内有一个暗紫红色肿物，触诊时容易出血。CT扫描显示一个软组织病变，增强扫描后有强化。组织病理学检查确诊为小叶性毛细血管瘤。患者成功接受了手术切除，未进行术前栓塞。
LCH可累及皮肤和黏膜。尽管其确切病因仍存在争议，但创伤是其发生的主要危险因素。活检和影像学检查可确诊。将LCH与其他表现相似的血管疾病相鉴别对于全面理解和更好地管理至关重要。内镜手术切除联合电凝是首选治疗方法。
儿童鼻内LCH并不常见。准确诊断对于全面理解至关重要。手术切除联合电凝是首选治疗方法，但术前栓塞的作用仍在讨论中。
