PMC3586446_01
Reddish-gray-colored polypoidal mass in the left vestibule.
CRIM.OTOLARYNGOLOGY2013-175326.001.jpg
PMC3586446_01_CRIM.OTOLARYNGOLOGY2013-175326.001.jpg
fig1
Anterior rhinoscopy revealed a fragile, lobular, red-grayish-colored, smooth, and polypoidal mass, arising anteroinferiorly to the left inferior turbinate filling the vestibule (Figure 1).
Axial, sagittal, and coronal CT images showing an intensely enhancing homogenous mass lesion in the left vestibule.
CRIM.OTOLARYNGOLOGY2013-175326.002.jpg
PMC3586446_01_CRIM.OTOLARYNGOLOGY2013-175326.002.jpg
fig2
On postcontrast study, the soft tissue is showing intense enhancement (Figures 2(a), 2(b), and 2(c)).
Histopathology showing irregular blood vessels ranging from capillaries and sinusoids to large vessels lined with one layer of flat endothelial cells lying in a fibrous stroma.
CRIM.OTOLARYNGOLOGY2013-175326.003.jpg
PMC3586446_01_CRIM.OTOLARYNGOLOGY2013-175326.003.jpg
fig3
Several fields of proliferative fibrosis at the sites of repetitive haemorrhages were seen (Figure 3).