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Year : 2019  |  Volume : 21  |  Issue : 1  |  Page : 6-8

Atypical Clinical and Radiological Presentation of Juvenile Nasopharyngeal Angiofibroma; A case report

1 Otorhinolaryngology Consultant, Head of local Committee South Region, Aseer Central Hospital, Aseer, Saudi Arabia
2 Otorhinolaryngology Department at the Armed Forces Hospital Southern Region, KhamisMushauet, Saudi Arabia
3 Otorhinolaryngology Department at King Fahad Central Hospital, Jizan, Saudi Arabia

Correspondence Address:
Ali Al-Zraei
Aseer Central Hospital, Aseer
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.277843

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Juvenile nasopharyngeal angiofibroma (JNA) is a highly aggressive locally invasive vascular neoplasm found almost exclusively in prepubescent and pubescent boys. It accounts for 0.05% of all head and neck tumors and is the most common benign tumor involving the pterygopalatine and infratemporal fossa[1]. Although histologically benign, it is locally invasive and, if left untreated, has the potential to erode through the skull base[2]. Here we present a case report of a 13 years old boy came with history of obstruction in the right nasal cavity associated with epistaxis and discharge. Computed tomography with contrast imaging revealed an enhancing heterogeneous mass lesion in the nasopharynx and posterior choana extending to pterygopalatine and infratemporal fossa in the right side.

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