Pediatric lobular capillary hemangioma of the nasal cavity

Lobular capillary hemangioma (LCH), also called pyogenic granuloma, is a benign vascular tumor that is pedunculated on the skin and the mucous membranes of the oral cavity. This disease occurs in all ages, but more often in the 3rd decade, and is seen in females more than males. LCH commonly appears in early childhood and affects males more than females in the pediatric age group. The gingiva, lips, tongue and buccal mucosa are the most common sites of mucosal LCH, but the nasal cavity is rare. Micro-trauma and hormonal factors are the most common etiologic factors. Epistaxis and nasal obstruction are the most marked symptoms. We describe the case of a 6-year-old girl with intra-nasal lobular capillary hemangioma presented with epistaxis and nasal obstruction. This should be considered in the differential diagnosis of childhood endonasal masses with bleeding. Total excision using endoscopic technique is the treatment of choice.     

Pyogenic granuloma of the epiglottis

The lobular capillary hemangioma, commonly known as pyogenic granuloma, is a common benign vascular lesion arising from both cutaneous and mucosal sites. The lesion is prevalent in the pediatric population, although airway involvement is rare. To date localization to a supraglottic subsite remains unreported in the literature. Here we describe a unique case of pyogenic granuloma arising from the epiglottis of a three year-old patient.     

Lobular capillary hemangioma on the floor of the mouth (pyogenic granuloma). Report of a case and literature review

Lobular capillary hemangioma or pyogenic granuloma is a benign lesion with a focal reactive development of fibrovascular tissue and endotelial proliferation. It can appear to any age in different locations and usually has the aspect of a pediculate mass with or without ulceration zones on the area. Its treatment is the simple surgical removal and the control of the traumatic and infectious influential factors. We report a case of pyogenic granuloma on the floor of the mouth making a literature review at respect of that common clinical entity.     

Pyogenic granuloma of the vocal cords: a case report

The authors present a case of pyogenic granuloma (botriomycome) of the vocal cord secondary to naso-tracheal intubation. Along with a physiological review, the histological and clinical characteristics of vocal cord pyogenic granuloma are discussed. Preventative measures and a treatment protocol are proposed.     

Pyogenic granuloma of the larynx: A rare cause of hemoptysis

Pyogenic granuloma (PG) may involve gingival mucosa (granuloma gravidarum) in pregnancy but rarely involves the airway. This case report is perhaps the only reported presentation of PG in the larynx causing hemoptysis at a late stage of pregnancy. On laryngoscopic exam, a vascular, right false vocal fold neoplasm was identified with pathological characteristics consistent with PG. Conclusions: Pyogenic granuloma is a relatively common tumor of pregnancy but rarely involves the larynx. In the case of airway involvement during pregnancy, it is best managed in coordination with the high-risk obstetrical team and can be removed safely via standard microsurgical techniques.     

Intramuscular capillary hamartoma of the tongue

Intramuscular vascular lesions in the tongue are rare and are usually the capillary form of haemangioma. A case is described of a lingual mass that resembled intramuscular haemangioma but had unique histological features that do not appear to have been described previously. The term intramuscular capillary hamartoma is suggested to describe it.     

Lobular capillary hemangioma of the neonatal larynx

OBJECTIVE: To describe a previously unreported condition of the neonatal larynx. DESIGN: Case series of 4 neonates with an uncommon laryngeal lesion. SETTING: Tertiary care children's hospital. PATIENTS: Four neonates in the first 10 days of life with stridor, hoarseness, and respiratory distress. INTERVENTION: The patients were examined using flexible fiberoptic laryngoscopy, and laryngeal lesions were identified and subsequently removed using microlaryngoscopy. Photodocumentation of the lesions was performed. Microscopic evaluation of biopsy specimens by a pathologist followed. MAIN OUTCOME MEASURES: Each patient's medical record was carefully reviewed for prenatal history, birth history, neonatal history, pathologic findings, and office follow-up. RESULTS: All 4 neonates were delivered atraumatically and developed symptoms of upper airway obstruction within the first few minutes to days of life. Each neonate was found to have an obstructive laryngeal lesion requiring surgical intervention. No child had other congenital abnormalities or a history of obvious laryngeal trauma. Pathologic review of each laryngeal specimen revealed inflammatory lesions with characteristic features of a lobular capillary hemangioma (or a pyogenic granuloma). CONCLUSIONS: The diagnosis of a lobular capillary hemangioma of the larynx should be considered in the differential diagnosis of a newborn with stridor, hoarseness, or respiratory distress. The cases seem to be of congenital origin, although acquired pathogenesis cannot be ruled out. Treatment of these lesions includes microscopic surgical excision.     

舌上皮样血管瘤一例

上皮样血管瘤(epitheloid hemangioma)又称血管淋巴样增生伴嗜酸性粒细胞增多症(angiolymphoid hyperplasia with eosinophilia,ALHE)或组织细胞样血管瘤(histiocytoid hemangioma,HH).国外文献仅见6例报道~([1-4]),国内尚未见发生于舌的报道.本文中结合文献复习,对该病的临床病理特征和免疫表型进行分析,并探讨其与Kimura病的鉴别诊断.     

Midline pyogenic granuloma of the tongue: two case studies

Characteristically, pyogenic granuloma of the tongue is more common on the lateral side of the tongue. The reasons for this are unclear, but may be related to trauma from adjacent teeth or dentures. This article was prompted by the presentation of two patients with lesions in the midline of the anterior surface of the dorsum of the tongue. Both lesions were successfully removed surgically, and histology revealed them to be pyogenic granulomas. There has been no evidence of recurrence in the 6th month of the follow-up period.     

喉部肉芽肿型毛细血管瘤临床分析

目的:提高对喉部肉芽肿型毛细血管瘤诊治的认识。方法:收集我科2006-2011年间收治的肉芽肿型毛细血管瘤患者,分析患者的临床资料、治疗及随访观察情况。结果:10例喉部肉芽肿型毛细血管瘤患者中,8例以声嘶为主要表现,这8例中有3例同时伴有咽喉部异物感,1例以咯血为主要表现,1例以咽部异物感伴痰中带血为主要表现就诊,均给予手术治疗,有4例辅以CO2激光治疗。无一例复发。结论:肉芽肿型毛细血管瘤是一种良性的血管增生性病变,非真性肿瘤,完整切除肿块,术后很少复发,预后良好。