Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 4 Issue 1

Intravascular Papillary Endothelial Hyperplasia: An Unusual Tumor of the Paranasal Sinuses

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

References

  1. Barnes L., et al. “Pathology and Genetics of Head and Neck Tumours”. (World Health Organization Classification of Tumours.), Lyon, IARC Press (2005).
  2. Ayiomamitis A., et al. “The epidemiology of malignant neoplasms of the nasal cavities, the paranasal sinuses and the middle ear in Canada”. Archives of Otorhinolaryngology6 (1988): 367-371.
  3. Fassih M., et al. “Vascular tumors of the nasal cavities: A retrospective study of 10 cases”. Revue de Laryngologie - Otologie - Rhinologie 133 (2012): 87-92.
  4. Jackson RT., et al. “Malignant neoplasms of the nasal cavities and paranasal sinuses: (a retrospective study)”. Laryngoscope 87 (1977): 726-736.
  5. Moon Woo Sung., et al. “Intravascular Papillary Endothelial Hyperplasia In A Vascular Lesion Of The Paranasal Sinus”. Archives of Pathology and Laboratory Medicine8 (2000): 1224-1227.
  6. Malik Ajay., et al. “Intravascular Papillary Endothelial Hyperplasia: An Unusual Histopathological Entity". Indian Dermatology Online Journal4 (2015): 277.
  7. Masson P. “Hemangionendotheliome vegetan intravasculaire”. 93 (1923): 517-523.
  8. Clearkin KP and Enzinger FM. “Intravascular papillary endothelial hyperplasia”. Archives of Pathology and Laboratory Medicine 8 (1976): 441-444.
  9. Hashimto H., et al. “Intravascular papillary endothelial hyperplasia A clinicopathologic study of 91 cases”. The American Journal of Dermatopathology6 (1983): 539-546.
  10. Tedla M., et al. “Intravascular papillary endothelial hyperplasia of larynx: case report and literature review of all head and neck cases”. Otolaryngology Polish 68 (2014): 200-203.
  11. Akdur Noyan Can., et al. “"Intravascular Papillary Endothelial Hyperplasia: Histomorphological And Immunohistochemical Features”. Diagnostic Pathology1 (2013).
  12. Stern Y., et al. “Intravascular Papillary Endothelial Hyperplasia in the Maxillary Sinus: A Benign Lesion That May Be Mistaken for Angiosarcoma”. Archives of Otolaryngology - Head and Neck Surgery10 (1991): 1182-1184.
  13. Götte K and Hörmann K. “Sinonasal Malignancy: What’s New?”. 66.2 (2004): 85-97.
  14. Safneck JR., et al. “Intranasal papillary endothelial hyperplasia”. Otolaryngology–Head and Neck Surgery 113 (1995): 766-770.
  15. Stevens DJ. “Papillary endothelial hyperplasia in the nose”. Journal of Laryngology and Otology 102 (1988): 935-937.
  16. Al-Qahtani KH. “Intravascular papillary endothelial hyperplasia (Masson's tumor) as a nasal mass: a case report and review of the literature”. Pan Arab Journal of Rhinology 6 (2016): 33-35.
  17. D'Aguanno V., et al. “The role of differential diagnosis in intravascular papillary endothelial hyperplasia of the sinonasal cavity mimicking angiosarcoma: A case report”. Oncology Letters (2018).
  18. Lombardi D., et al. “Giant Hypervascular Lesion of the Sinonasal Tract Invading the Anterior Skull Base and Orbit: A Puzzling Case”. Annals of Otology, Rhinology and Laryngology 9 (2008): 653-658.
  19. Wang Z., et al. “Sinonasal intravascular papillary endothelial hyperplasia successfully treated by endoscopic excision: A case report and review of the literature”. Auris Nasus Larynx3 (2009): 363-366.
  20. Lancaster J, ., et al. “Papillary endothelial hyperplasia (Masson's tumour) of the maxillary sinus”. The Journal of Laryngology and Otology5 (1998): 500-502.
  21. Hooda S., et al. “Masson's pseudotumour of the ethmoid sinus – a case report”. Journal of Laryngology and Otology 9 (2008): 990-992.
  22. Pins MR., et al. “Florid extravascular papillary endothelial hyperplasia (Masson's pseudoangiosarcoma) presenting as a soft-tissue sarcoma”. Archives of Pathology and Laboratory Medicine3 (1993): 259-263.

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.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US