Leiomioma de seio paranasal: relato de um caso e revisão da literatura

Fonseca, Marconi Teixeira; Araújo, Paulo A. K.; Barreiros, Aureliano Carneiro

doi:10.1590/s0034-72992002000300022

Cited by 9 publications

(7 citation statements)

References 10 publications

(18 reference statements)

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“…Leiomyomas of the nasal cavity are located in the nasal conchae, septum, paranasal sinuses, vestibule, and cavity floor. 12 Histologically, the vascular type is composed of bundles of relatively organized smooth muscle cells with interspersed thick-walled vessels. Vascular leiomyomas are less common.…”

Section: Discussionmentioning

confidence: 99%

“…Three hypotheses have been proposed for the origin of smooth muscle tumors in the nasal cavity: from aberrant undifferentiated mesenchymal cells; from elements of smooth muscle in the walls of blood vessels and of piloerector muscles; or from both previous hypotheses, simultaneously. 2 8 9 10 11 12 13 Some articles indicate that sexual hormones and Epstein-Barr virus infection can affect the genesis of nasal angioleiomyoma. 3 12 …”

Section: Introductionmentioning

confidence: 99%

“… 2 8 9 10 11 12 13 Some articles indicate that sexual hormones and Epstein-Barr virus infection can affect the genesis of nasal angioleiomyoma. 3 12 …”

Section: Introductionmentioning

confidence: 99%

“…They can be painful or not and can expand. 4 12 They usually manifest as epistaxis (56.25%) and with nasal obstruction (56.25%). 11…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of choice is total lesion excision. 2 8 10 11 12 13 Recurrence is extremely rare after total excision.…”

Section: Introductionmentioning

confidence: 99%

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Angioleiomyoma of the Nasal Cavity

Arruda

Monteiro

Fernandes

et al. 2014

Int. Arch. Otorhinolaryngol.

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… 2 8 9 10 11 12 13 Some articles indicate that sexual hormones and Epstein-Barr virus infection can affect the genesis of nasal angioleiomyoma. 3 12 …”

Section: Introductionmentioning

confidence: 99%

“…They can be painful or not and can expand. 4 12 They usually manifest as epistaxis (56.25%) and with nasal obstruction (56.25%). 11…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of choice is total lesion excision. 2 8 10 11 12 13 Recurrence is extremely rare after total excision.…”

Section: Introductionmentioning

confidence: 99%

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Angioleiomyoma of the Nasal Cavity

Arruda

Monteiro

Fernandes

et al. 2014

Int. Arch. Otorhinolaryngol.

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Vascular leiomyoma of the nasal cavity: case report and literature review

Mathieu

Verbruggen

Goovaerts

et al. 2016

Eur Arch Otorhinolaryngol

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We report a case of a 54-year-old man with an angioleiomyoma originating from the right nasal floor. Nasal vascular leiomyomas are extremely rare tumours. A review of the literature revealed a limited number of cases of vascular leiomyoma in the nasal cavity. Clinically, they are characterised by nasal obstruction, epistaxis or pain as the primary symptom. Up to our knowledge, this is the first case in which a 3D CT scan was performed preoperatively. 3D CT scan reconstructions can show the delineation of the tumour very accurately helping to establish the therapeutic plan for removal. The definite diagnosis can only be confirmed by histopathology. Histopathologically, a vascular leiomyoma demonstrates proliferation of smooth muscle cells intermingled with dilated venous vessels.

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