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Nasal mass in pregnancy
*For correspondence: asmitamadhavi@yahoo.co.in
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This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher.
A 20 yr old female† at 37 wk of gestation presented to the department of ENT, King Edward Memorial Hospital, Mumbai, India, in October 2019, with a left-sided bleeding nasal mass. Initially, it was small in size but aggressively increased over a fortnight (Fig. 1). Magnetic resonance imaging was done to avoid radiation exposure which was suggestive of a soft tissue lesion antero-inferior to nasal septum (Fig. 2). Complete excision was done with cauterization of the base (Fig. 3), endoscopically (Fig. 4 and Video). Histopathological report was suggestive of haemangioma. Nasal mucosa on follow up after five days healed well.
Pyogenic granuloma and haemangiomas are the most common benign vascular tumours in pregnancy. Nasal mass during pregnancy has aggressive growth under hormonal influence. These are notorious as these progresses rapidly over a short duration under the influence of oestrogen as a mediator for vascular proliferation. Hence, it requires aggressive management to avoid further complications due to anaemia.
Video available at ijmr.org.in.
Conflicts of Interest: None.