Juvenile nasopharyngeal angiofibroma

Case contributed by Dr Naqibullah Foladi

Presentation

Nasal obstruction and epistaxis for one year.

Patient Data

Age: 16 years
Gender: Male

Soft tissue enhancing mass lesion in the left posterior nasopharynx. The mass is extending to the sphenoidal and ethmoidal sinuses. The mass is also protruding into the left maxillary sinus and eroding left medial wall of the maxillary sinus. It is also displacing the nasal septum to the right side. Inferiorly the mass is abutting the hard palate. 

No intracranial extension.

Case Discussion

The differential for the imaging findings above can be juvenile nasopharyngeal angiofibroma, although it lacks avid enhancement and bony erosion is present (although bony resorption/bony remodelling can be seen in such cases). The second differential can be other nasal masses, e.g. polyp, esthesioneuroblastoma.

This case is also contributed by Dr. Mohammad Tahir Aien

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Case information

rID: 71230
Published: 8th Nov 2019
Last edited: 11th Nov 2019
Inclusion in quiz mode: Included

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