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Int Arch Otorhinolaryngol 2014; 18(04): 409-411
DOI: 10.1055/s-0033-1364173
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Angioleiomyoma of the Nasal Cavity

Milena Moreira Arruda
1   Department of Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
,
Daniela Yasbek Monteiro
1   Department of Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
,
Atilio Maximino Fernandes
1   Department of Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
,
Vanessa Menegatti
1   Department of Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
,
Emerson Thomazzi
1   Department of Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
,
Ricardo Arthur Hubner
1   Department of Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
,
Luiz Guilherme Cernaglia Aureliano de Lima
1   Department of Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

18 July 2010

24 October 2010

Publication Date:
21 January 2014 (online)

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Abstract

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.

Keywords

clinical diagnosis - differential diagnosis - leiomyoma - inverted papilloma - nasal cavity - nasal obstruction - vascular leiomyoma - nasal cavity - squamous papilloma - diagnosis
 

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