scholarly journals Pediatric Nasal Lobular Capillary Hemangioma

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Jordan M. Virbalas ◽  
John P. Bent ◽  
Sanjay R. Parikh
Keyword(s):  
Nasal Obstruction ◽  
Pediatric Population ◽  
Case Series ◽  
Epidemiological Data ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Retrospective Case ◽  
Lobular Capillary Hemangioma ◽  
Image Guided ◽  
Recurrent Epistaxis

Background.LCH is a benign vascular growth of the skin and mucous membranes commonly affecting the head and neck. Since it was first described in the nineteenth century, this entity has been variously known as “human botryomycosis” and “pyogenic granuloma.” The shifting nomenclature reflects an evolving understanding of the underlying pathogenesis. We review the histopathology of and current epidemiological data pertaining to LCH which suggests that the development of these lesions may involve a hyperactive inflammatory response influenced by endocrine factors. We report two new cases of pediatric lobular capillary hemangioma (LCH) of the nasal cavity and review current theories regarding the etiology, diagnosis, and treatment of nasal LCH.Methods. Retrospective case series.Case Series. Two adolescent females presented with symptoms of recurrent epistaxis, nasal obstruction, and epiphora. Both patients underwent computed tomography imaging and biopsy of their intranasal mass. The tumors were excised using image-guided transnasal endoscopic technique. Seven other cases of nasal LCH have been reported to date in the pediatric population.Conclusion. Nasal LCH is a rare cause of an intranasal mass and is associated with unilateral epistaxis, nasal obstruction, and epiphora. We advocate for image-guided endoscopic excision of LCH in the adolescent population.

scholarly journals Pyogenic Granuloma of Nasal Septum

2011 ◽  
Vol 4 (3) ◽  
pp. 163-165
Author(s):  
Anuja Santosh Kulkarni
Keyword(s):  
Oral Cavity ◽  
Nasal Obstruction ◽  
Male Patient ◽  
Nasal Septum ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Clinical Entity ◽  
Lobular Capillary Hemangioma ◽  
Uncommon Presentation ◽  
History Of

ABSTRACT Pyogenic granuloma also known as lobular capillary hemangioma is although rare but well-documented clinical entity. However, it is more commonly reported in cases pertaining to lesions of oral cavity and especially in female patients during pregnancy usually in third decade of life. But, here we report a very uncommon presentation of pyogenic granuloma arising from nasal septum in a 52-year-old male patient who presented to us with history of epistaxis and left-sided nasal obstruction since 4 months.

scholarly journals The Histopathological Spectrum of Pyogenic Granuloma: A Case Series

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Vinay Marla ◽  
Ashish Shrestha ◽  
Khushboo Goel ◽  
Sajeev Shrestha
Keyword(s):  
Endothelial Cells ◽  
Clinical Course ◽  
Age Groups ◽  
Case Series ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Lobular Capillary Hemangioma ◽  
Case Presentation ◽  
Solitary Nodule ◽  
Slow Growing

Background.Pyogenic granuloma is a reactive tumor-like lesion commonly affecting the oral cavity. These lesions usually appear as localized solitary nodule with a sessile or pedunculated base and colour varying from red, purplish, or pink, depending on the vascularity of the lesion. Pyogenic granuloma shows predilection for gingiva and is usually slow growing, but at times it shows rapid growth. The natural course of this lesion can be categorized into three distinct phases, namely, (i) cellular phase, (ii) capillary phase/vascular phase, and (iii) involutionary phase. Histopathologically, pyogenic granuloma is classified into lobular capillary hemangioma (LCH) and non-lobular capillary hemangioma (non-LCH).Case Presentation. In this series, four cases (varied age groups and both genders) of pyogenic granuloma showing varying histopathological presentation in relation to its clinical course have been described. The lesion in its early phase reveals diffuse endothelial cells, with few budding into capillaries. Among the capillary phase, the LCH type shows numerous blood vessels organized into lobular aggregates whereas the non-LCH type does not show any such organization and resembles granulation tissue. The involutionary phase shows healing of the lesion and is characterized by extensive fibrosis in the connective tissue.Conclusion.In conclusion, knowledge of the various histopathological presentation of this lesion is necessary for proper identification.

scholarly journals Gastrointestinal Pyogenic Granuloma (Lobular Capillary Hemangioma): An Underrecognized Entity Causing Iron Deficiency Anemia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Marshall W. Meeks ◽  
Umar M. Kamal ◽  
Muhammad B. Hammami ◽  
Jason R. Taylor ◽  
M. Louay Omran ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Iron Deficiency ◽  
Case Series ◽  
Pyogenic Granuloma ◽  
Vascular Tumor ◽  
Capillary Hemangioma ◽  
Deficiency Anemia ◽  
Review Of The Literature ◽  
Lobular Capillary Hemangioma ◽  
Actual Incidence

Pyogenic granuloma (PG), more accurately known as lobular capillary hemangioma, is a benign vascular tumor that usually occurs in the skin or oral mucosa. This lesion is rarely reported in the gastrointestinal tract but is known to bleed if not resected. We herein describe a case series with the clinical, endoscopic, and histologic findings of four cases of gastrointestinal PG at our institution. In addition, we provide a review of the literature and summation of all reported cases of PG specific to the gastrointestinal tract. Based on our experience, we suggest that the actual incidence of gastrointestinal PG may in fact be higher than reported because PG can be unrecognized or improperly diagnosed. It is important for the clinician to properly recognize this lesion as a source of anemia and its propensity to bleed during biopsy or resection.

scholarly journals Pyogenic Granuloma: A Case Report

1970 ◽  
Vol 8 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Md T Rizwanulla ◽  
Bandana Koirala ◽  
Shivalal Sharma ◽  
Lalita Adhikari ◽  
Anju Pradhan
Keyword(s):  
Case Report ◽  
Inflammatory Response ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Definitive Diagnosis ◽  
Vascular Lesions ◽  
Minor Trauma ◽  
Lobular Capillary Hemangioma ◽  
Dental Restorations ◽  
Foreign Materials

Anju Pradhan was added as an author of this paper on 04/03/2011Pyogenic granulomas (PG) are common benign vascular lesions of the skin and mucosa. They are neither infective, purulent nor granulomatous as the name might suggest-rather a reactive enlargement that is an inflammatory response to local irritation such as calculus, fractured tooth, minor trauma, rough dental restorations and foreign materials. Here, we report a case of 13 year old patient with PG and in addition to the knowledge, the importance of biopsy findings in establishing definitive diagnosis has been emphasized. Keywords: pyogenic granuloma; inflammatory hyperplasia; lobular capillary hemangioma. DOI: 10.3126/hren.v8i3.4215Health Renaissance, September-December 2010; Vol 8 (No.3);196-198

Laryngeal Web in the Pediatric Population: Evaluation and Management

2019 ◽  
Vol 162 (2) ◽  
pp. 234-240 ◽  
Author(s):  
Claire M. Lawlor ◽  
Natasha D. Dombrowski ◽  
Roger C. Nuss ◽  
Reza Rahbar ◽  
Sukgi S. Choi
Keyword(s):  
Pediatric Population ◽  
Care Center ◽  
Tertiary Care ◽  
Case Series ◽  
22Q11.2 Deletion Syndrome ◽  
Deletion Syndrome ◽  
Retrospective Case ◽  
Presenting Symptoms ◽  
Subglottic Extension ◽  
Type 3

Objective To discuss the presentation, evaluation, and management of pediatric laryngeal web. Study Design Retrospective case series. Setting Single tertiary care center. Subjects All patients with laryngeal web at Boston Children’s Hospital in the past 22 years. Methods No exclusion criteria. Charts mined for age at presentation, presenting symptoms, degree/location of web, associated syndromes, number/type of surgical procedures, and postoperative outcomes. Results Thirty-seven patients were included (13 male, 24 female). Average age at diagnosis was 3.7 years (0-19.5 years). Mean follow-up was 4.4 years (range, 0-16.4 years). There were 26 congenital webs (70.2%) and 11 acquired webs (29.8%). Presenting symptoms were vocal (29 patients, 78.4%) and respiratory (22 patients, 60%). Underlying syndromes or synchronous airway lesions included the following: premature (n = 5), congenital heart disease (n = 18), subglottic stenosis (n = 5), 22q11.2 deletion syndrome (n = 10), and recurrent respiratory papillomatosis (n = 4). There were 20 type 1 webs, 6 type 2 webs, 8 type 3 webs, and 3 type 4 webs; 10 had subglottic extension of the laryngeal web. Twelve patients were managed conservatively with observation. Eighty-four interventions were performed: 18 open and 66 endoscopic (sharp division, 32; dilation, 33; mitomycin C, 14; laser, 5; keel, 6; triamcinolone injection, 8; stent, 15; removal of granulation tissue, 5). Tracheotomy was required in 11 patients, and 5 patients were decannulated. Voice improved in 12 patients, with respiratory symptoms in 12 patients. Web recurred in 17 patients. One patient died due to airway complications. Conclusions Pediatric laryngeal web is an uncommon but challenging lesion. Patients need to be evaluated for comorbid syndromes and synchronous airway lesions. Management includes open and endoscopic procedures. Procedures should be tailored to the child’s presentation.

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