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Ann R Coll Surg Engl ; 102(2): e20-e22, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31219307

ABSTRACT

We present the case of a 33-year-old man with right-sided facial pain. Clinical examination revealed an isolated mass attached to the right inferior turbinate. This was confirmed with computed tomography. Excision was achieved endoscopically and histology revealed an angioleiomyoma. Full symptomatic relief was achieved after surgical excision. Less than 1% of angioleiomyoma lesions are found within the sinonasal cavity. We describe the first documented presentation of angioleiomyoma as a cause of isolated, unilateral facial pain; a very common presentation to the otorhinolaryngology clinic. We promote consideration of angioleiomyoma as a different diagnosis in the presence of facial pain and a unilateral sinonasal lesion. Endoscopic resection provides complete symptomatic resolution.


Subject(s)
Angiomyoma/diagnosis , Facial Pain/etiology , Nasal Obstruction/etiology , Nose Neoplasms/diagnosis , Adult , Angiomyoma/complications , Angiomyoma/surgery , Biopsy , Endoscopy , Facial Pain/surgery , Humans , Male , Nasal Obstruction/diagnostic imaging , Nasal Obstruction/surgery , Nose Neoplasms/complications , Nose Neoplasms/surgery , Tomography, X-Ray Computed , Treatment Outcome , Turbinates/diagnostic imaging , Turbinates/pathology
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