Download PDF
CC BY-NC-ND 4.0 · Avicenna J Med 2015; 05(04): 128-130
DOI: 10.4103/2231-0770.165124
CASE REPORT

Nasal angioma with osseous metaplasia

Adriana Handra-Luca
Department of Pathology, Service d'Anatomie pathologique, APHP Universite Paris Nord Sorbonne Cite, Bobigny
,
Damien Bisseret
Department of Radiology, Service de Radiologie, APHP Universite Paris Nord Sorbonne Cite, Bobigny
,
Philippe Gorphe
Department of Cervico-facial Oncology, Institut Gustave Roussy, Villejuif, France
,
Nebojsa Arsenovic
Pathlinks Pathology Services, Lincoln, England
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
  PDF Download Permissions and Reprints

Abstract

Nasal angiomas are rare. We report a case showing osseous metaplasia and discuss pathogenesis hypotheses. A 41-year-old woman presented with a right lateronasal firm, immobile mass, and interfering with glass wearing. The computed tomography scan imaging was suggestive of chondroma while the magnetic resonance imaging showed on T1-weighted images nodule isosignal, on T2-weighted images hypersignal, and intense enhancement after contrast substance injection. The lesion was surgically resected. Histological examination revealed a 0.8 cm angioma with multifocal osseous metaplasia. The diagnosis of nasal angiomas with extensive osseous metaplasia is difficult requiring microscopic examination. Conservative surgery is the treatment of choice even at an early stage due to the limited effectiveness of embolization or drugs on the osseous component.

Keywords

Angioma - benign vascular lesion - diagnostic - nose osseous metaplasia - vascular malformation


Publication History

Article published online:
09 August 2021

© 2015. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Rosai J. Rosai and Ackerman's Surgical Pathology. 10th ed. Philadelphia: Elsevier; 2011.
  • 2 Handra-Luca A, Montgomery E. Vascular malformations and hemangiolymphangiomas of the gastrointestinal tract: Morphological features and clinical impact. Int J Clin Exp Pathol 2011;4:430-43.
  • 3 Blaustein A, Shenker L. Responsiveness of endothelium in spiral arterioles of endometrium. Obstet Gynecol 1970;35:12-20.
  • 4 Gondos B. Histologic changes associated with oral contraceptive usage. Ann Clin Lab Sci 1976;6:291-9.
  • 5 Arsenovic NN, Sen S, Patel J, Terzic M, Reed M. Angiomatosis: A case with metaplastic ossification. Am J Dermatopathol 2009;31:367-9.
  • 6 Burgdorf W, Nasemann T. Cutaneous osteomas: A clinical and histopathologic review. Arch Dermatol Res 1977;260:121-35.
  • 7 Cushman M, O'Meara ES, Folsom AR, Heckbert SR. Coagulation factors IX through XIII and the risk of future venous thrombosis: The longitudinal investigation of thromboembolism etiology. Blood 2009;114:2878-83.
  • 8 Varigos GA, Bickers DR, Hu CH. Hyperfibrinogenemia with ulcerations overlying a congenital hemangioma. A clue to Hodgkin's disease. Int J Dermatol 1985;24:592-4.
  • 9 Webb CJ, Porter G, Spencer MG, Sissons GR. Cavernous haemangioma of the nasal bones: An alternative management option. J Laryngol Otol 2000;114:287-9.
  • 10 Ratour J, Benzakin S, Handra-Luca A. Adult sporadic parotid hemangioma with COX2 expression. J Craniofac Surg 2013;24:2211-2.