Endonasal endoscopic laser-assisted resection of septal glomangiopericytoma

Abstract

Glomangiopericytoma is a rare vascular neoplasm characterised by a pattern of prominent perivascular growth with myoid phenotype. It is categorised as a borderline low-malignancy tumour by WHO and accounts for less than 0.5% of all sinonasal tumours. After curative resection, patients of glomangiopericytoma need long-term endoscopic follow-up due to high risk of recurrence.We report a case of a 23-year-old man complaining of nasal obstruction off and on and frequent epistaxis. A reddish mass in the right nasal cavity was observed on endoscopy and treated with endoscopic excision.Biopsy revealed this to be glomangiopericytoma arising from the septum of right nasal cavity, which was excised in toto with endonasal endoscopic approach using diode laser.

A rare case of glomangiopericytoma in the nasal cavity: A case report in light of recent literature

“… Epistaxis, nasal obstruction, anosmia. diplopia and proptosis, Navigation-assisted endoscopic None No 12 3 Sana Sheikh et al [ 21 ] 2018 23 M Nasal cavity Nasal obstruction and epistaxis Endonasal endoscopic laser-assisted resection None No 18 4 Michihisa Kono et al [ 11 ] 2018 74 F Nasal cavity Nasal obstruction and epistaxis ESS Not mentioned Not mentioned N/A 5 Nitin Sharmaa et al [ 22 ] 2019 65 M Sphenoethmoidal recess Epistaxis, pain ESS Not mentioned No 9 6 Yutaro Saito et al [ 18 ] 2019 71 M Nasal cavity Nasal obstruction ESS None No 13 7 Larry Shemen et al (case 1) [ 23 ] 2020 62 F superior turbinate Headache ESS Not mentioned …”

“…Obvious mass effect with the surrounding structure deviation was observed, and bone destruction was highly suspected. Sana Sheikh et al [ 21 ] CT/MRI CT: A well-defined soft-tissue density area measuring 2.1 × 1.9 × 1.5cm arising from nasal septum extending into right nasal cavity laterally abutting the right middle turbinate and extending inferiorly up to right inferior turbinate. MRI: A homogenous enhancement in the lesion with absence of nodal involvement.…”

Flexible laser Sphenopalatine artery ligation: An alternative to the classic approach

“…Diode laser is a commonly used flexible laser in the nose and face and is an excellent haemostatic tool for telangiectasia, arteriovenous malformations and endoscopic laser‐assisted resections of vascular tumours etc . Other types of fibre laser that can be potentially used for the same purpose are Nd: YAG laser therapy and thulium laser, the first already an established tool in haemorrhagic diseases such as Rendu‐Osler‐Weber syndrome and the second more recently tried in flap preparation for anterior skull base surgery…”