Cavernous Hemangioma of the Maxillary Sinus Masquerading Recurrent Hemorrhagic Mass: Histological-Radiological Correlation and a Literature Review
- Kim, Sungbin; Baek, Hye Jin; Ryu, Kyeong Hwa; An, Hyo Jung; Joo, Yeon-Hee
- Issue Date
- BENTHAM SCIENCE PUBL LTD
- Hemangioma; Cavernous hemangioma; Organizing hematoma; Maxillary sinus; CT; MRI
- CURRENT MEDICAL IMAGING, v.18, no.10, pp.1120 - 1124
- Journal Title
- CURRENT MEDICAL IMAGING
- Start Page
- End Page
- Background: Sinonasal cavernous hemangioma is rare. To date, fewer than 20 cases have been reported in the literature; however, they may be a source of recurrent epistaxis and masquerade of a hemorrhagic mass on CT and MRI. Case Report: A 68-year-old woman was presented with recurrent epistaxis and progressive right malar fullness. On rhinoscopy, a bulge lesion was observed with multifocal hemorrhagic and friable surfaces in the right nasal cavity. CT and MRI demonstrated a well-defined mass in the right maxillary sinus with inhomogenous T2 hyperintensity, hypointense septa, peripheral rim, and multiple papillary enhancement, suggesting a recurrent hemorrhagic mass. The mass was excised endoscopically, and the histologic diagnosis was cavernous hemangioma. Conclusion: Imaging studies, such as CT and MRI, are essential in making an accurate diagnosis of cavernous hemangioma of the maxillary sinus. Endoscopic excision of the lesion can be curative.
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- College of Medicine > Department of Medicine > Journal Articles
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