Juvenile nasopharyngeal angiofibroma

Case contributed by Dr Maxime St-Amant

Presentation

Unexplained recurrent epistaxis.

Patient Data

Age: 20 years
Gender: Male

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.

Case Discussion

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

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Case information

rID: 18600
Published: 14th Jul 2012
Last edited: 1st Dec 2019
Inclusion in quiz mode: Included

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