Recurrent angioleiomyoma of the middle turbinate

Abstract

SUMMARYWe present a case of a middle-aged woman with a history of not only progressive nasal obstruction, facial pain, hyposmia and epistaxis, but also excision of the nasal mass diagnosed as a vascular leiomyoma. On examination, a smooth bulge was seen over the middle turbinate. Surgical excision along with histopathology and immunohistochemistry revealed a diagnosis of recurrent vascular leiomyoma of the middle turbinate. BACKGROUND

Angioleiomyoma of Nasal Septum: Case Report and Literature Review

“…There were no reports of patients requiring reconstruction or a second stage procedure. Recurrent sinonasal angioleiomyoma has been reported on the middle turbinate [3], however, no recurrent lesions have been reported on the nasal septum. Malignant transformation has yet to be reported in the literature for sinonasal angioleiomyomas.…”

“…A female predilection has been suggested in the literature, with reports of a female:male ratio of 3.75:1 [3,21,29]. Marioni et al, suggest possible hormone dependence and report a case of a progesterone dependent sinonasal angioleiomyoma [29].…”

“…Literature review reveals that the most common age range for presentation is between 40 and 60 years of age [3,28,29]. A female predilection has been suggested in the literature, with reports of a female:male ratio of 3.75:1 [3,21,29].…”

“…Immunohistology will reveal expression of alpha smooth muscle actin (SMA) and possibly h-caldesmon, muscle specific actin, desmin, S100, or myoglobin [1,3].…”

“…KTP laser has been used for bloodless ablation [3,22]. A lateral rhinotomy approach hasbeen described for a large tumor [24].…”