Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Computed Tomography and Magnetic Resonance Imaging Findings of Nasal Cavity Hemangiomas According to Histological Type

  • Kim, Jun Ho (Department of Radiology, Inha University School of Medicine) ;
  • Park, Sun-Won (Department of Radiology, Inha University School of Medicine) ;
  • Kim, Soo Chin (Department of Radiology, Seoul National University College of Medicine) ;
  • Lim, Myung Kwan (Department of Radiology, Inha University School of Medicine) ;
  • Jang, Tae Young (Department of Otolaryngology-Head & Neck Surgery, Inha University School of Medicine) ;
  • Kim, Yeo Ju (Department of Radiology, Inha University School of Medicine) ;
  • Kang, Young Hye (Department of Radiology, Inha University Hospital) ;
  • Lee, Ha Young (Department of Radiology, Inha University School of Medicine)
  • Received : 2014.06.19
  • Accepted : 2015.02.03
  • Published : 2015.06.01
⟨ Previous Next ⟩

Abstract

Objective: To compare computed tomography (CT) and magnetic resonance imaging (MRI) findings between two histological types of nasal hemangiomas (cavernous hemangioma and capillary or lobular capillary hemangioma). Materials and Methods: CT (n = 20; six pre-contrast; 20 post-enhancement) and MRI (n = 7) images from 23 patients (16 men and seven women; mean age, 43 years; range, 13-73 years) with a pathologically diagnosed nasal cavity hemangioma (17 capillary and lobular capillary hemangiomas and six cavernous hemangiomas) were reviewed, focusing on lesion location, size, origin, contour, enhancement pattern, attenuation or signal intensity (SI), and bony changes. Results: The 17 capillary and lobular hemangiomas averaged 13 mm (range, 4-37 mm) in size, and most (n = 13) were round. Fourteen capillary hemangiomas had marked or moderate early phase enhancement on CT, which dissipated during the delayed phase. Four capillary hemangiomas on MRI showed marked enhancement. Bony changes were usually not seen on CT or MRI (seen on five cases, 29.4%). Half of the lesions (2/4) had low SI on T1-weighted MRI images and heterogeneously high SI with signal voids on T2-weighted images. The six cavernous hemangiomas were larger than the capillary type (mean, 20.5 mm; range, 10-39 mm) and most had lobulating contours (n = 4), with characteristic enhancement patterns (three centripetal and three multifocal nodular), bony remodeling (n = 4, 66.7%), and mild to moderate heterogeneous enhancement during the early and delayed phases. Conclusion: CT and MRI findings are different between the two histological types of nasal hemangiomas, particularly in the enhancement pattern and size, which can assist in preoperative diagnosis and planning of surgical tumor excision.

Keywords

References

  1. Dillon WP, Som PM, Rosenau W. Hemangioma of the nasal vault: MR and CT features. Radiology 1991;180:761-765 https://doi.org/10.1148/radiology.180.3.1871291
  2. Iwata N, Hattori K, Nakagawa T, Tsujimura T. Hemangioma of the nasal cavity: a clinicopathologic study. Auris Nasus Larynx 2002;29:335-339 https://doi.org/10.1016/S0385-8146(02)00028-7
  3. Osborn DA. Haemangiomas of the nose. J Laryngol Otol 1959;73:174-179 https://doi.org/10.1017/S0022215100055134
  4. Kim HJ, Kim JH, Kim JH, Hwang EG. Bone erosion caused by sinonasal cavernous hemangioma: CT findings in two patients. AJNR Am J Neuroradiol 1995;16:1176-1178
  5. Lee DG, Lee SK, Chang HW, Kim JY, Lee HJ, Lee SM, et al. CT features of lobular capillary hemangioma of the nasal cavity. AJNR Am J Neuroradiol 2010;31:749-754 https://doi.org/10.3174/ajnr.A1908
  6. Yang BT, Li SP, Wang YZ, Dong JY, Wang ZC. Routine and dynamic MR imaging study of lobular capillary hemangioma of the nasal cavity with comparison to inverting papilloma. AJNR Am J Neuroradiol 2013;34:2202-2207 https://doi.org/10.3174/ajnr.A3523
  7. Feingold M. Picture of the month. Hemangioma and lymphangioma of the nose. Am J Dis Child 1985;139:319-320
  8. Batsakis JG, Rice DH. The pathology of head and neck tumors: vasoformative tumors, part 9A. Head Neck Surg 1981;3:231-239 https://doi.org/10.1002/hed.2890030311
  9. Jones JE, Nguyen A, Tabaee A. Pyogenic granuloma (pregnancy tumor) of the nasal cavity. A case report. J Reprod Med 2000;45:749-753
  10. el-Sayed Y, al-Serhani A. Lobular capillary haemangioma (pyogenic granuloma) of the nose. J Laryngol Otol 1997;111:941-945
  11. Ash JE, Old JW. Hemangiomas of the nasal septum. Trans Am Acad Ophthalmol Otolaryngol 1950;54:350-356
  12. Bhattacharyya N, Wenokur RK, Goodman ML. Endoscopic excision of a giant pyogenic granuloma of the nasal cavity caused by nasal packing. Rhinology 1997;35:44-45
  13. Lee HM, Lee SH, Hwang SJ. A giant pyogenic granuloma in the nasal cavity caused by nasal packing. Eur Arch Otorhinolaryngol 2002;259:231-233 https://doi.org/10.1007/s00405-001-0442-x
  14. Miller FR, D'Agostino MA, Schlack K. Lobular capillary hemangioma of the nasal cavity. Otolaryngol Head Neck Surg 1999;120:783-784 https://doi.org/10.1053/hn.1999.v120.a85324
  15. Lance E, Schatz C, Nach R, Thomas P. Pyogenic granuloma gravidarum of the nasal fossa: CT features. J Comput Assist Tomogr 1992;16:663-664
  16. Berenguer B, Mulliken JB, Enjolras O, Boon LM, Wassef M, Josset P, et al. Rapidly involuting congenital hemangioma: clinical and histopathologic features. Pediatr Dev Pathol 2003;6:495-510
  17. Dufour H, Fesselet J, Metellus P, Figarella-Branger D, Grisoli F. Cavernous hemangioma of the sphenoid sinus: case report and review of the literature. Surg Neurol 2001;55:169-173; discussion 173 https://doi.org/10.1016/S0090-3019(00)00353-0
  18. Vargas MC, Castillo M. Sinonasal cavernous haemangioma: a case report. Dentomaxillofac Radiol 2012;41:340-341 https://doi.org/10.1259/dmfr/89601569
  19. Kim EY, Kim HJ, Chung SK, Dhong HJ, Kim HY, Yim YJ, et al. Sinonasal organized hematoma: CT and MR imaging findings. AJNR Am J Neuroradiol 2008;29:1204-1208 https://doi.org/10.3174/ajnr.A1042
  20. Wang YZ, Yang BT, Wang ZC, Song L, Xian JF. MR evaluation of sinonasal angiomatous polyp. AJNR Am J Neuroradiol 2012;33:767-772 https://doi.org/10.3174/ajnr.A2856
  21. Yagisawa M, Ishitoya J, Tsukuda M. Hematoma-like mass of the maxillary sinus. Acta Otolaryngol 2006;126:277-281 https://doi.org/10.1080/00016480500316746
  22. Song CE, Cho JH, Kim SY, Kim SW, Kim BG, Kang JM. Endoscopic resection of haemangiomas in the sinonasal cavity. J Laryngol Otol 2009;123:868-872 https://doi.org/10.1017/S0022215109004861

Cited by

  1. A Case of 2-Month-Old Infant with Lobular Capillary Hemangioma vol.24, pp.2, 2015, https://doi.org/10.18787/jr.2017.24.2.127
  2. Intranasal Lobular Capillary Hemangioma with Multiple Sites of Origin during Pregnancy: A Case Report and Literature Review vol.2018, pp.None, 2015, https://doi.org/10.1155/2018/7413918
  3. Imaging features of benign mass lesions in the nasal cavity and paranasal sinuses according to the 2017 WHO classification vol.36, pp.6, 2015, https://doi.org/10.1007/s11604-018-0739-y
  4. Extranasopharyngeal Angiofibroma of the Nasal Septum: A Case Report vol.80, pp.4, 2019, https://doi.org/10.3348/jksr.2019.80.4.750
  5. CT and MRI Findings of Glomangiopericytoma in the Head and Neck: Case Series Study and Systematic Review vol.41, pp.1, 2015, https://doi.org/10.3174/ajnr.a6336