Leiomyoma Arising from Septum of Nose

Abstract

Leiomyomas are benign tumours which are presumed to arise from vascular smooth muscle in the nasal cavity. They are rare in nasal cavity but are commonly encountered in GIT, female genital tract (uterus). The rarity of these tumours in nasal cavity is evident from the fact that less than 45 cases have been reported till date. We report a 45 years old male with Leiomyoma of the nasal cavity with brief review of literature.

Angioleiomyoma of Nasal Septum: Case Report and Literature Review

“…KTP laser has been used for bloodless ablation [3,22]. A lateral rhinotomy approach hasbeen described for a large tumor [24]. One case of a particularly extensive tumor in the nasal cavity required craniofacial resection [12].…”

Recurrent angioleiomyoma of the middle turbinate

“…Less common sites are the skin (3%) and gastrointestinal tract (1%). Only 0.5% of leiomyomas occur at other sites which include the head and neck region 1 3 4. Hachisuga5 reported 48 cases of leiomyoma in the head and neck which included five cases in the nose and paranasal sinuses.…”

“…They are: (1) Presence of undifferentiated mesenchymal aberrations (2) Presence of smooth muscle in turbinal blood vessels (3) Presence of smooth muscle in vestibular erector pili and sweat glands 3 4 7…”

“…Crusting and desiccation may occur due to the disturbance of laminar airflow in the nasal cavity, thereby manifesting as epistaxis. Bone erosion in leiomyoma is due to tumour pressure decalcification or due to the local extension of the tumour into the neighbouring tissues 2 4 7…”

“…The probable cause for the recurrence in our case was the incomplete primary excision of the tumour and the involved surrounding bone. Malignant transformation of the leiomyoma has not been reported in the literature; however, Perzin has reported the possibility of a pre-existing benign disease in the development of leiomyosarcoma in the nose and paranasal sinuses 4 12…”