Glomangioma of the nasal cavity: a case report from Pakistan

Glomus tumors are rare benign mesenchymal neoplasms arising from modified smooth muscle cells of the glomus body, primarily found in subungual regions of distal extremities. Involvement of the nasal cavity, particularly in the form of glomangiomas, is exceptionally rare and limited to case reports. We present a case of a 59-year-old male with a long-standing history of nasal obstruction. Clinical and radiological evaluations revealed a vascular mass originating from the right maxillary sinus and extending into the nasal cavity. The lesion was endoscopically excised and found intraoperatively to be unusually vascular. Histopathological examination confirmed the diagnosis of glomangioma. The patient has remained recurrence-free over four years of follow-up. Intranasal glomangiomas are exceptionally rare and may mimic more common nasal lesions. Histopathology and immunohistochemistry are crucial for accurate diagnosis. Surgical excision appears to offer favorable outcomes, with recurrence largely attributed to incomplete resection, though conclusions remain limited by the rarity of this entity.