Leiomyoma of the nasal cavity: case report

Cintra, Pedro Paulo Vivacqua da Cunha; Lima, Wilma Terezinha Anselmo; Rodrigues, Aguilar

doi:10.1016/s1808-8694(15)31185-x

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…The initial literature search of the databases yielded a total of 366 articles. Of these articles, 40 met the inclusion criteria: 25 studies were single patient case reports, 5,7,12–34…”

Section: Resultsmentioning

confidence: 99%

Diagnosis, Treatment and Follow-Up of Sinonasal Leiomyomas: A Systematic Review

Runge

Randhawa

Mayo-Patiño

et al. 2023

Am J Rhinol�Allergy

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Background Leiomyomas are benign smooth muscle tumors that are rarely diagnosed in the nasal cavity and paranasal sinuses. Objective This systematic review summarizes the histopathologic and clinical tumor characteristics, surgical management, and follow-up of sinonasal leiomyomas. Methods A systematic review of the literature on sinonasal leiomyoma was performed by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Studies that met the inclusion criteria were assessed for level of evidence. Patient demographics, clinical and pathological tumor characteristics, primary intervention, and results of follow-up were evaluated. Results Forty studies including 84 patients with sinonasal leiomyoma were identified. The tumor was most often located in the nasal cavity (47/84, 56%) originating from the inferior turbinate (32/84, 38%). Patients mostly presented with symptoms originating from an intranasal mass, including recurrent epistaxis (41/84, 49%), nasal obstruction (43/84, 51.2%), and localized facial or head pain (25/84, 29.8%). Surgery was performed in all cases. An endoscopic approach was most frequently chosen. Recurrence occurred only twice (2.4%). Morbidity was noted in 2 cases (2.4%) following postoperative bleeding and 1 (1.2%) case following a CSF leak. Conclusion Sinonasal leiomyomas are neoplasms of the smooth muscle manifesting clinically with recurrent epistaxis and nasal obstruction. Management goal is total resection with clear margins to avoid local recurrence.

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“…The initial literature search of the databases yielded a total of 366 articles. Of these articles, 40 met the inclusion criteria: 25 studies were single patient case reports, 5,7,12–34…”

Section: Resultsmentioning

confidence: 99%

Diagnosis, Treatment and Follow-Up of Sinonasal Leiomyomas: A Systematic Review

Runge

Randhawa

Mayo-Patiño

et al. 2023

Am J Rhinol�Allergy

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“…Three hypotheses have been proposed for the origin of smooth muscle tumors in the nasal cavity: from aberrant undifferentiated mesenchymal cells; from elements of smooth muscle in the walls of blood vessels and of piloerector muscles; or from both previous hypotheses, simultaneously. 2 8 9 10 11 12 13 Some articles indicate that sexual hormones and Epstein-Barr virus infection can affect the genesis of nasal angioleiomyoma. 3 12 …”

Section: Introductionmentioning

confidence: 99%

“…The treatment of choice is total lesion excision. 2 8 10 11 12 13 Recurrence is extremely rare after total excision.…”

Section: Introductionmentioning

confidence: 99%

Angioleiomyoma of the Nasal Cavity

Arruda

Monteiro

Fernandes

et al. 2014

Int. Arch. Otorhinolaryngol.

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Introduction Vascular leiomyoma of the nasal cavity is an extremely rare tumor that represents less than 1% of all vascular leiomyomas. It is more prevalent in women between the fourth and sixth decades, reaching primarily the inferior nasal turbinates. Objectives Reporting and assisting the systematization of more accurate diagnostic methods in clinical and complementary investigation of vascular leiomyoma in the nasal cavity. Resumed Report We present the case of a 49-year-old woman diagnosed with vascular leiomyoma in the nasal cavity, which manifested mainly with nasal obstruction. During investigation, computer tomography was not diagnostic, the cytologic study was not conclusive, and according to the biopsy, it was a squamous papilloma. Conclusion We suggest that the technical difficulty in obtaining an adequate amount of material for preoperative biopsy, associated with the topography of the lesion in the vestibular nasal region, may have contributed to changing the postoperative diagnosis. Thus, pathologic study of the surgical fragment is the more accurate method for diagnosis.

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Vascular leiomyoma of the nasal cavity: case report and literature review

Mathieu

Verbruggen

Goovaerts

et al. 2016

Eur Arch Otorhinolaryngol

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We report a case of a 54-year-old man with an angioleiomyoma originating from the right nasal floor. Nasal vascular leiomyomas are extremely rare tumours. A review of the literature revealed a limited number of cases of vascular leiomyoma in the nasal cavity. Clinically, they are characterised by nasal obstruction, epistaxis or pain as the primary symptom. Up to our knowledge, this is the first case in which a 3D CT scan was performed preoperatively. 3D CT scan reconstructions can show the delineation of the tumour very accurately helping to establish the therapeutic plan for removal. The definite diagnosis can only be confirmed by histopathology. Histopathologically, a vascular leiomyoma demonstrates proliferation of smooth muscle cells intermingled with dilated venous vessels.

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Leiomyoma of the nasal cavity: case report

Cited by 5 publications

References 6 publications

Diagnosis, Treatment and Follow-Up of Sinonasal Leiomyomas: A Systematic Review

Diagnosis, Treatment and Follow-Up of Sinonasal Leiomyomas: A Systematic Review

Angioleiomyoma of the Nasal Cavity

Vascular leiomyoma of the nasal cavity: case report and literature review

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