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.

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.
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References in periodicals archive ?
In the differential diagnosis of benign masses in tonsils, the following should be considered: juvenile angiofibroma, fibroepithelial polyp, arteriovenous malformation, lymphangiectasia, squamous papilloma, hamartoma, inclusion cyst, lipoma, and fibroma (6, 7).
Nasal Juvenile Angiofibroma vs Arteriovenous Hemangioma, Diagnosis Challenge.
Bolzoni Villaret, "Juvenile angiofibroma: evolution of management," International Journal of Pediatrics, vol.
INTRODUCTION: Juvenile angiofibroma has been recognized since the ancient times of Hippocrates.
Juvenile angiofibroma is the most common benign tumor of nasopharynx.
The differential diagnosis of a benign polypoid tonsillar lesion includes squamous papilloma, lymphangioma, epidermal inclusion cyst, juvenile angiofibroma, hemangioma, fibroepithelial polyp, fibroma, fibroxanthoma, lipoma, adenoma, and chondroma.
Endoscopic surgery for juvenile angiofibroma: when and how.
The use of intensity modulated radiotherapy for the treatment of extensive and recurrent juvenile angiofibroma. Int J Pediatr Otorhinolaryngol 2000;52:261-8.
(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.
Juvenile angiofibroma of skull base [Yunosheskaya angiofibroma osnovaniya cherepa], in Russian, Moscow, Medicine.
Juvenile angiofibroma. In: Michael G, George G, Martin J, Ray C, John H,Nicholas S J,editors.
Objectives: To describe the surgical handling of juvenile nasopharyngeal angiofibroma, both approach and anesthesia, to demonstrate compromise and staging and to determine complications and recurrence of juvenile angiofibroma using Le Fort I approach.

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