Gutiérrez Espinosa César Alfonso¹, Garza Castañeda Román Rodolfo²*, Cortes Ponce José Rosmal³, Falcón García Juan Manuel² and Beltran Ortega Carlos⁴

¹Professor of the Department of Otolaryngology-Head and Neck Surgery at Hospital Regional “General Ignacio Zaragoza” ISSSTE, México
²Resident of the Department of Otolaryngology-Head and Neck Surgery at Hospital Regional “General Ignacio Zaragoza” ISSSTE, Facultad Mexicana de Medicina, Universidad de La Salle, México
³Assistant Professor of the Department of Otolaryngology-Head and Neck Surgery at Hospital Universitario of Nuevo Leon, México
⁴Professor of the Department of Anatomic Pathology at Hospital Regional “General Ignacio Zaragoza” ISSSTE, México

*Corresponding Author: Garza Castañeda Roman Rodolfo, Resident of the Department of Otolaryngology-Head and Neck Surgery at Hospital Regional “General Ignacio Zaragoza” ISSSTE, Facultad Mexicana de Medicina, Universidad de La Salle, México.

Received: November 24, 2021; Published: December 31, 2021

Abstract

Intravascular Papillary Endothelial Hyperplasia (IPEH) also known as Masson’s Tumor was first described in 1923 by French pathologist Dr. Claude L. Pierre Masson. It’s a reactive vascular proliferation secondary to traumatic vascular stasis which unleashes the activation of FGF of the macrophages invading the site of trauma with proliferation of endothelial cells. The importance of Masson’s tumor, of a benign nature, is the striking similarity it has with the angiosarcoma. This tumor represent 2% of all the vascular tumor, more frequently seen in the skin of fingers and blood vessels. Its presentation in the paranasal sinus is extremely rare, with only 10 published cases in medical literature. The present case is of a 41 year old female with paresthesia of the left side of the face and periorbital edema: treated with steroids and antibiotic without improvement. Physical exploration with left palpebral ptosis, diplopia and diminishes visual acuity. Endoscopic visualization of the nose with a submucosal purplish mass protruding of the left medium meatus expanding lateral nasal wall. CT enhanced imaging reveals a heterogeneous mass in the left maxillary sinus with an erosive expansion of the lateral nasal wall and orbit floor. Biopsy of the specimen is taken, which is diagnosed as IPEH. The tumor is resected entirely via a Denker endoscopic medial maxillectomy.

Keywords: Intravascular Papillary Endothelial Hyperplasia; Masson’s Tumor; Denker; Lateral Nasal Wall

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Citation

Citation: Garza Castañeda Román Rodolfo., et al. “Intravascular Papillary Endothelial Hyperplasia: An Unusual Tumor of the Paranasal Sinuses".Acta Scientific Otolaryngology 4.1 (2022): 77-83.

Copyright

Copyright: © 2022 Garza Castañeda Román Rodolfo., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.