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CT Features of Lobular Capillary Hemangioma of the Nasal Cavity

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Author(s)
이상권장혁원이희정이성문권중혁우성구
Alternative Author(s)
Lee, Sang KwonChang, Hyuk WonLee, Hee JungLee, Sung MunKwon, Jung HyeokWoo, Seong Ku
Publication Year
2010
Abstract
BACKGROUND AND PURPOSE: Lobular capillary hemangioma is a benign capillary proliferation of unknown etiology. To our knowledge, no comprehensive review of imaging findings of LCHNC has been presented. Thus, we investigated characteristic CT features of LCHNC.


MATERIALS AND METHODS: This retrospective study included 6 patients (2 men and 4 women; age range, 30–65 years; mean age, 49.2 years) with histologically proved LCHNC. We evaluated the size, site of origin, attenuation on NECT, degree and pattern of enhancement, and bony changes.


RESULTS: The LCHNC lesion was 13.0–45.0 mm (average, 25.0 mm) in diameter. These lesions arose from the inferior turbinate in 5 (83.3%) patients and the anterior nasal septum in 1 (16.7%). Compared with the masticator muscles, the LCHNC lesion was hypoattenuating in 2 (33.3%) and isoattenuating on NECT in 4 (66.7%) patients. In 5 (83.3%) patients, the LCHNC lesion consisted of 2 distinct areas on CECT: a lobular intensely enhancing mass and an iso- or hypoattenuating cap of variable thickness around the intensely enhancing mass. Bony changes included erosion in 3 (50.0%) and displacement in 2 (33.3%) patients.


CONCLUSIONS: CT features of LCHNC consist of an intensely enhancing mass and an iso- or hypoattenuating cap on CECT. The inferior turbinate seems to be a common site of origin, and bony changes are not uncommon features of LCHNC. CT is useful not only in identifying the site of origin and assessing the extent but also in suggesting the nature of LCHNC.
Department
Dept. of Radiology (영상의학)
Publisher
School of Medicine
Citation
AJNR, American Journal of Neuroradiology, Vol.31(4) : 749-54, 2010
Type
Article
ISSN
0195-6108
DOI
10.3174/ajnr.A1908
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34871
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