Capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions
Capillary hemangiomas are benign vascular tumors usually diagnosed in infancy and involving skin and soft tissues. We report a rare case of an adult capillary hemangioma of the left sphenoid sinus extending into the intrasellar and parasellar regions. A 71-year-old woman presented with complaints of...
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2022
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oai:doaj.org-article:7541fe8c051740488753cc30004cec5e2021-11-30T04:15:09ZCapillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions1930-043310.1016/j.radcr.2021.10.011https://doaj.org/article/7541fe8c051740488753cc30004cec5e2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007305https://doaj.org/toc/1930-0433Capillary hemangiomas are benign vascular tumors usually diagnosed in infancy and involving skin and soft tissues. We report a rare case of an adult capillary hemangioma of the left sphenoid sinus extending into the intrasellar and parasellar regions. A 71-year-old woman presented with complaints of headaches and diplopia. Magnetic resonance imaging revealed a T2-hyperintense mass-like lesion involving the left posterior ethmoid and sphenoid sinuses and left cavernous sinus, that had extended into the intrasellar and parasellar regions. Dynamic contrast-enhanced computed tomography revealed enhancing vessel-like structures within the lesion during the arterial phase, which were observed to expand further in the late phase of the examination. This characteristic feature indicated increased vascularity, suggesting the presence of a capillary hemangioma. The patient underwent endoscopic resection via the endonasal transpterygoid approach, and the lesion was diagnosed histopathologically as a capillary hemangioma. To aid diagnosis and clinical management, radiologists should be aware of the imaging findings related to capillary hemangiomas.Maciej Pas, MD, PhDTaro Shimono, MD, PhDHiroki Morisako, MD, PhDTaro Tsukamoto, MD, PhDReia Kuramoto, MDDaisuke Horiuchi, MDAkane Tashiro, MDShoko Shigeki, MDYukio Miki, MD, PhDElsevierarticleCapillary hemangiomaIntrasellar regionCavernous sinusSphenoid sinusMagnetic resonance imagingComputed tomographyMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 156-160 (2022) |
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Capillary hemangioma Intrasellar region Cavernous sinus Sphenoid sinus Magnetic resonance imaging Computed tomography Medical physics. Medical radiology. Nuclear medicine R895-920 |
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Capillary hemangioma Intrasellar region Cavernous sinus Sphenoid sinus Magnetic resonance imaging Computed tomography Medical physics. Medical radiology. Nuclear medicine R895-920 Maciej Pas, MD, PhD Taro Shimono, MD, PhD Hiroki Morisako, MD, PhD Taro Tsukamoto, MD, PhD Reia Kuramoto, MD Daisuke Horiuchi, MD Akane Tashiro, MD Shoko Shigeki, MD Yukio Miki, MD, PhD Capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions |
description |
Capillary hemangiomas are benign vascular tumors usually diagnosed in infancy and involving skin and soft tissues. We report a rare case of an adult capillary hemangioma of the left sphenoid sinus extending into the intrasellar and parasellar regions. A 71-year-old woman presented with complaints of headaches and diplopia. Magnetic resonance imaging revealed a T2-hyperintense mass-like lesion involving the left posterior ethmoid and sphenoid sinuses and left cavernous sinus, that had extended into the intrasellar and parasellar regions. Dynamic contrast-enhanced computed tomography revealed enhancing vessel-like structures within the lesion during the arterial phase, which were observed to expand further in the late phase of the examination. This characteristic feature indicated increased vascularity, suggesting the presence of a capillary hemangioma. The patient underwent endoscopic resection via the endonasal transpterygoid approach, and the lesion was diagnosed histopathologically as a capillary hemangioma. To aid diagnosis and clinical management, radiologists should be aware of the imaging findings related to capillary hemangiomas. |
format |
article |
author |
Maciej Pas, MD, PhD Taro Shimono, MD, PhD Hiroki Morisako, MD, PhD Taro Tsukamoto, MD, PhD Reia Kuramoto, MD Daisuke Horiuchi, MD Akane Tashiro, MD Shoko Shigeki, MD Yukio Miki, MD, PhD |
author_facet |
Maciej Pas, MD, PhD Taro Shimono, MD, PhD Hiroki Morisako, MD, PhD Taro Tsukamoto, MD, PhD Reia Kuramoto, MD Daisuke Horiuchi, MD Akane Tashiro, MD Shoko Shigeki, MD Yukio Miki, MD, PhD |
author_sort |
Maciej Pas, MD, PhD |
title |
Capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions |
title_short |
Capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions |
title_full |
Capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions |
title_fullStr |
Capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions |
title_full_unstemmed |
Capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions |
title_sort |
capillary hemangioma of the sphenoid sinus with intrasellar and parasellar extensions |
publisher |
Elsevier |
publishDate |
2022 |
url |
https://doaj.org/article/7541fe8c051740488753cc30004cec5e |
work_keys_str_mv |
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