Juvenile Angiofibroma Protruding from the Nasal Cavity

Authors

  • Voon Hoong Fong Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
  • Mohd Razif Mohamad Yunus Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.32412/pjohns.v27i2.525

Keywords:

juvenile angiofibroma, juvenile nasopharyngeal angiofibroma, head and neck tumor

Abstract

 

Objective: To describe a case of juvenile angiofibroma with unusual protrusion out of the nasal cavity, and its management with surgery and radiotherapy.

Methods:

            Design: Case Report

            Setting: Tertiary Public Referral Centre

            Patient: One

Results: A 17-year-old gentleman presented with a huge tumor protruding from his left nostril, diagnosed with juvenile angiofibroma stage IIIA by MRI and angiography. Following successful pre-operative embolization, the protruding mass was ligated and truncated, followed by surgical resection via external approach. Post-operative residual tumor was treated with adjuvant radiotherapy. There was no evidence of recurrence after 9 months.

Conclusion: A high index of suspicion is of paramount importance in the diagnosis of JA and avoids the possibility of an unwarranted biopsy, which could spell disaster. The most useful tools for diagnosis are MRI and arterial angiography. Treatment is primarily surgical. Irradiation therapy has been reported to achieve satisfactory outcomes, especially for unresectable residual disease and/or intracranial extension, where total surgical resection is unlikely to be attained without unacceptable morbidity.

Keywords: juvenile angiofibroma, juvenile nasopharyngeal angiofibroma, head and neck tumor.

 

 

 

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Published

2012-12-03

How to Cite

1.
Fong VH, Yunus MRM. Juvenile Angiofibroma Protruding from the Nasal Cavity. Philipp J Otolaryngol Head Neck Surg [Internet]. 2012 Dec. 3 [cited 2024 Jul. 17];27(2):20-3. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/525

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