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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Autores principales: 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
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Publicado: Elsevier 2022
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Capillary hemangioma
Intrasellar region
Cavernous sinus
Sphenoid sinus
Magnetic resonance imaging
Computed tomography
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle 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
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