juvenile angiofibroma

ju·ve·nile an·gi·o·fi·bro·ma

a markedly vascular fibrous tumor occurring in the nasopharynx of males, usually in the second decade of life; epistaxis and local invasion may result, but spontaneous regression may occur after sexual maturity.

juvenile angiofibroma

angiofibroma

A benign nasopharyngeal tumour which is most common in adolescent and young adult males.

Clinical findings
Repeated epistaxis, nasal congestion and discharge, hearing loss.

Imaging
Skull film, CT of head.
 
Management
Excision if lesion is enlarging or blocking airway.

juvenile angiofibroma

A rare benign tumour occurring at the back of the nasal cavity affecting male adolescents almost exclusively. The tumour is probably a form of vascular malformation and consists of irregular vascular endothelial-lined spaces embedded in a fibrous stroma. Its blood supply is derived from the sphenopalatine artery and sometimes also from the internal carotid artery.
References in periodicals archive ?
The use of intensity modulated radiotherapy for the treatment of extensive and recurrent juvenile angiofibroma.
16) Nicolai et al reviewed the cases of 15 patients who underwent endoscopic surgery for juvenile angiofibroma, including 4 who had modified Fisch stage III disease; they emphasized the importance of drilling out the pterygoid canal to explore the basisphenoid bone.
Endoscopic and endoscopic-assisted surgery for juvenile angiofibroma.
The role of radiation in the treatment of advanced juvenile angiofibroma.
The differential diagnosis of large nasopharyngeal masses should include (1) benign disease such as juvenile angiofibroma, teratoma, meningoencephalocele, chordoma, paraganglioma, and nasopharyngeal extension of a parapharyngeal parotid tumor and (2) malignant disease such as carcinoma, lymphoma, and sarcoma.

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