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Lobular Capillary Hemangioma of the Nasal Cavity

The differential diagnosis of an intranasal mass includes a diverse range of inflammatory and neoplastic processes. Considerations include sinonasal papillomas, capillary hemangioma, hemangiopericytoma, histiocytoma, leiomyoma, osteoma, squamous cell carcinoma, adenocarcinoma, melanoma, esthesioneuroblastoma, and angiosarcoma. 1 In addition, inflammatory processes such as sarcoid or Wegener’s granulomatosis must be considered. In young children there is the possibility of a foreign body, which may mimic an intranasal mass. Most patients will have a limited range of symptoms, including nasal obstruction, epistaxis, epiphora, or purulent rhinorrhea. The diagnosis may be delayed because of the overlapping of the symptoms with chronic sinusitis. Malignant lesions are more likely to present with facial pain, exophthalmos, and cranial nerve deficits.