| Angioleiomyoma: An Uncommon Entity in the Nasal Cavity |
Jee Won Moon1
, Dong Ha Kim1
, Tae Sung Jeon2
, Heung-Man Lee1
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1Department of Otorhinolaryngology-Head and Neck Surgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea
2Department of Pathology, Guro Hospital, Korea University College of Medicine, Seoul, Korea |
| 혈관평활근종: 비강에서의 드문 증례 |
| 문지원1
, 김동하1
, 전태성2
, 이흥만1
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1고려대학교 의과대학 구로병원 이비인후-두경부외과학교실
2고려대학교 의과대학 구로병원 병리학교실 |
| Correspondence |
Heung-Man Lee ,Tel: +82-2-2626-3185, Fax: +82-2-868-0475, Email: lhman@korea.ac.kr
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Received: 7 June 2024; Revised: September 15, 2024 Accepted: 23 September 2024. Published online: 24 December 2024. |
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| ABSTRACT |
Background and Objectives
Nasal angioleiomyoma, being a very rare tumor, makes up less than 1% of all angioleiomyomas and is rarely diagnosed preoperatively due to nonspecific and inconclusive radiological and clinical findings. Proper diagnosis and appropriate surgical removal are thus necessary to prevent recurrence. This study focuses on the role of endoscopic transnasal surgery as a minimally invasive approach for the effective treatment of the tumor. We investigated 10 cases to evaluate their diagnosis and surgical outcomes.
Subjects and Method
In this study, we retrospectively analyzed 10 patients diagnosed with nasal angioleiomyoma in our hospital from May 2003 to June 2022. We reviewed their data regarding clinical characteristics, diagnosis, treatment, follow-up duration, and recurrence.
Results
The diagnosis was more common in females (female:male ratio, 2.3:1) and the mean age at diagnosis was 52.8 years. The most common location was the inferior turbinate, and patients commonly presented with nasal obstruction and epistaxis. The mean tumor size was 1.5 cm. A well-defined, heterogeneously enhancing mass in the nasal cavity was revealed from the CT of the paranasal sinuses. The venous type was most common histologically. All patients underwent transnasal endoscopic excision, and there were no recurrences.
Conclusion
Nasal angioleiomyoma typically manifests as a small, painless mass, and we found that transnasal endoscopic excision is a minimally invasive and useful treatment technique with excellent outcomes. For the accurate diagnosis of nasal angioleiomyoma, which is challenging to clinically diagnose, it would be necessary to consider a differential diagnosis and conduct detailed histopathological examination. |
| Keywords:
Angioleiomyomaㆍ Nose neoplasmㆍ Retrospective study |
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