The role of diagnostic and interventional radiology in juvenile nasopharyngeal angiofibroma: A case report and literature review.

Radiol Case Rep

Department of Radiology, Faculty of Medicine Universitas Indonesia-Dr, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Published: July 2020

AI Article Synopsis

  • - Juvenile Nasopharyngeal Angiofibroma is a rare, benign but aggressive tumor that can cause severe symptoms due to its high blood supply, including spontaneous bleeding and nasal obstruction.
  • - A case report details a 13-year-old boy who presented with facial swelling, nasal congestion, recurrent nosebleeds, reduced sense of smell, headaches, and breathing difficulties, with a diagnosis confirmed via CT scan.
  • - The tumor was found to be highly vascularized, and preoperative embolization successfully reduced its blood flow, highlighting the importance of imaging tools for both diagnosis and treatment in managing this condition.

Article Abstract

Juvenile Nasopharyngeal Angiofibroma is a rare and locally aggressive benign tumor. It is characterized by high vascularization leading to spontaneous bleeding or massive hemorrhage. We reported a case of 13 years old boy with a swollen at the right face, nasal congestion, recurrent nose bleeding, hyposmia, headache, breathing difficulty, and a nasopharyngeal mass at CT scan. Angiography examination showed a highly vascularized mass which was successfully occluded through preoperative embolization procedures. It is suggested that imaging modalities is not only playing an important role in diagnostic process, but also as an adjunct treatment approach in patient with Juvenile Nasopharyngeal Angiofibroma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182694PMC
http://dx.doi.org/10.1016/j.radcr.2020.04.017DOI Listing

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Juvenile nasopharyngeal angiofibroma (JNA) is a rare, locally aggressive, highly vascularized benign tumor classically found in males from 13 to 20 years old. The most common clinical presentations are recurrent epistaxis and nasal congestion. Imaging plays a significant role in differentiating and determining the extension of nasopharyngeal lesions.

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Article Synopsis
  • The study analyzes 12 cases of juvenile nasopharyngeal angiofibroma (JNA) in young males treated at a hospital between 2015 and 2020, focusing on the effectiveness of endoscopic plasma resection.
  • Preoperative imaging and selective artery embolization were performed, and patients were followed for at least 30 months to monitor outcomes.
  • Results showed clear vision, minimal bleeding, quick recovery, and no tumor recurrence, suggesting that this technique is a safe and effective treatment for JNA.
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Objectives: Juvenile nasopharyngeal angiofibroma is an uncommon tumour primarily seen in young males. It is characterized by its vascular nature and aggressive growth pattern, presenting a significant surgical challenge. Endoscopic sinonasal surgery has become the treatment of choice, reducing both morbidity and blood loss, as well as recurrence rates.

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