Juvenile nasopharyngeal angiofibroma

Case contributed by Dr Maxime St-Amant

Presentation

Unexplained recurrent epistaxis.

Patient Data

Age: 20
Gender: Male
Modality: MRI

MRI shows a small posterior nasopharyngeal lesion iso-intense on T1, heterogenous and with variable hyper-intense signal on T2. Some very thin flow-voids are visible on T2. There is homogeneous enhancement post-gadolinium, with hypervascularisation in the posterior portion of the lesion.

This is compatible with juvenile angiofibroma, a benign but locally invasive tumor. However, this case is not typical as it doesn't invade the nasal fossae.

PlayAdd to Share

Case Information

rID: 18600
Case created: 14th Jul 2012
Last edited: 25th Jan 2016
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.