Nasal Angioleiomyoma: An Unusual Cause of Epistaxis

Abstract

Angioleiomyomas are infrequent benign tumors originating from smooth muscle cells of arterial or venous walls. They are most commonly seen in the lower extremities with a prevalence of only 8.5% in the head and neck. We present the case of a 40-year-old male patient who presented to Christian Medical College, Vellore, India, with recurrent episodes of right-sided epistaxis. A computed tomography scan showed an enlarged right inferior turbinate filling the right nasal cavity. The mass was removed endoscopically and sent to pathology. A diagnosis of angioleiomyoma of the nasal cavity was made. This location that has only been described in a minority of cases in the literature. Our case report signifies the importance of maintaining a broad differential when dealing with patients presenting with nasal mass and the importance of histopathological examination for the diagnosis.

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

“…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…”

Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site

“…However, only 8.5% of angioleiomyomas are seen in the head and neck region, of which only a handful of reports have documented its occurrence in the periorbital region. [ 1 2 ] Angioleiomyomas are characterized by endothelium-lined vascular channels and background of smooth muscle. [ 3 ] Wolter, in 1965, and Henderson and Harrison, in 1970, have previously described orbital angioleiomyomas.…”