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Current Medical Imaging

Author(s): Sungbin Kim, Hye Jin Baek*, Kyeong Hwa Ryu, Hyo Jung An and Yeon-Hee Joo

DOI: 10.2174/1573405618666220218104156

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Cavernous Hemangioma of the Maxillary Sinus Masquerading Recurrent Hemorrhagic Mass: Histological-Radiological Correlation and a Literature Review

Article ID: e180222201274 Pages: 5

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Abstract

Background: Sinonasal cavernous hemangioma is rare. To date, fewer than 20 cases have been reported in the literature; however, they may be a source of recurrent epistaxis and masquerade of a hemorrhagic mass on CT and MRI.

Case Report: A 68-year-old woman was presented with recurrent epistaxis and progressive right malar fullness. On rhinoscopy, a bulge lesion was observed with multifocal hemorrhagic and friable surfaces in the right nasal cavity. CT and MRI demonstrated a well-defined mass in the right maxillary sinus with inhomogenous T2 hyperintensity, hypointense septa, peripheral rim, and multiple papillary enhancement, suggesting a recurrent hemorrhagic mass. The mass was excised endoscopically, and the histologic diagnosis was cavernous hemangioma.

Conclusion: Imaging studies, such as CT and MRI, are essential in making an accurate diagnosis of cavernous hemangioma of the maxillary sinus. Endoscopic excision of the lesion can be curative.

Keywords: Hemangioma, Cavernous hemangioma, Organizing hematoma, Maxillary sinus, CT, MRI.

Graphical Abstract

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