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Extranasopharyngeal angiofibroma: clinical and radiological presentation

Nasopharyngeal angiofibroma (NA) is a rare, vascular tumor affecting adolescent males. Due to aggressive local growth, skull base location and risk of profound hemorrhage, NA is a challenge for surgeons. Angiofibromas have been sporadically described in extanasopharyngeal locations. We review ten ca...

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Autores principales: Szymańska, Anna, Szymański, Marcin, Morshed, Kamal, Czekajska-Chehab, Elżbieta, Szczerbo-Trojanowska, Małgorzata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560963/
https://www.ncbi.nlm.nih.gov/pubmed/22584751
http://dx.doi.org/10.1007/s00405-012-2041-4
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author Szymańska, Anna
Szymański, Marcin
Morshed, Kamal
Czekajska-Chehab, Elżbieta
Szczerbo-Trojanowska, Małgorzata
author_facet Szymańska, Anna
Szymański, Marcin
Morshed, Kamal
Czekajska-Chehab, Elżbieta
Szczerbo-Trojanowska, Małgorzata
author_sort Szymańska, Anna
collection PubMed
description Nasopharyngeal angiofibroma (NA) is a rare, vascular tumor affecting adolescent males. Due to aggressive local growth, skull base location and risk of profound hemorrhage, NA is a challenge for surgeons. Angiofibromas have been sporadically described in extanasopharyngeal locations. We review ten cases of extranasopharyngeal angiofibroma (ENA) and discuss the incidence, clinical presentation and management of this pathology. The group consisted of 4 males and 5 females aged 8–49. There were 7 patients with nasal angiofibroma, 1 patient with laryngeal angiofibroma, 1 patient with oral angiofibroma and another patient with infratemporal fossa tumor. In patients with nasal angiofibroma most common presenting symptoms were nasal obstruction and epistaxis. Patients with laryngeal angiofibroma suffered from mild dysphagia and patients with the infratemporal fossa tumor had painless cheek swelling. In four patients with nasal tumor computed tomography (CT) demonstrated mass with strong to intermediate contrast enhancement. In one patient with nasal tumor carotid angiography demonstrated pathological vessels without intensive tumor blush. Infratemporal fossa tumor showed intensive contrast enhancement on CT and magnetic resonance imaging (MRI) scans, and abundant vascularity on angiography. Laryngeal and oral angiofibroma required no radiological imaging. Three nasal tumors were evaluated before introduction of CT to clinical practice. All patients underwent surgery. No recurrences developed. ENAs differ significantly from NAs regarding clinical and radiological presentations. They lack typical clinical and radiological features as they develop in all age groups and in females, may be less vascularised, arise from various sites and produce a variety of symptoms.
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spelling pubmed-35609632013-02-01 Extranasopharyngeal angiofibroma: clinical and radiological presentation Szymańska, Anna Szymański, Marcin Morshed, Kamal Czekajska-Chehab, Elżbieta Szczerbo-Trojanowska, Małgorzata Eur Arch Otorhinolaryngol Head and Neck Nasopharyngeal angiofibroma (NA) is a rare, vascular tumor affecting adolescent males. Due to aggressive local growth, skull base location and risk of profound hemorrhage, NA is a challenge for surgeons. Angiofibromas have been sporadically described in extanasopharyngeal locations. We review ten cases of extranasopharyngeal angiofibroma (ENA) and discuss the incidence, clinical presentation and management of this pathology. The group consisted of 4 males and 5 females aged 8–49. There were 7 patients with nasal angiofibroma, 1 patient with laryngeal angiofibroma, 1 patient with oral angiofibroma and another patient with infratemporal fossa tumor. In patients with nasal angiofibroma most common presenting symptoms were nasal obstruction and epistaxis. Patients with laryngeal angiofibroma suffered from mild dysphagia and patients with the infratemporal fossa tumor had painless cheek swelling. In four patients with nasal tumor computed tomography (CT) demonstrated mass with strong to intermediate contrast enhancement. In one patient with nasal tumor carotid angiography demonstrated pathological vessels without intensive tumor blush. Infratemporal fossa tumor showed intensive contrast enhancement on CT and magnetic resonance imaging (MRI) scans, and abundant vascularity on angiography. Laryngeal and oral angiofibroma required no radiological imaging. Three nasal tumors were evaluated before introduction of CT to clinical practice. All patients underwent surgery. No recurrences developed. ENAs differ significantly from NAs regarding clinical and radiological presentations. They lack typical clinical and radiological features as they develop in all age groups and in females, may be less vascularised, arise from various sites and produce a variety of symptoms. Springer-Verlag 2012-05-15 2013 /pmc/articles/PMC3560963/ /pubmed/22584751 http://dx.doi.org/10.1007/s00405-012-2041-4 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Head and Neck
Szymańska, Anna
Szymański, Marcin
Morshed, Kamal
Czekajska-Chehab, Elżbieta
Szczerbo-Trojanowska, Małgorzata
Extranasopharyngeal angiofibroma: clinical and radiological presentation
title Extranasopharyngeal angiofibroma: clinical and radiological presentation
title_full Extranasopharyngeal angiofibroma: clinical and radiological presentation
title_fullStr Extranasopharyngeal angiofibroma: clinical and radiological presentation
title_full_unstemmed Extranasopharyngeal angiofibroma: clinical and radiological presentation
title_short Extranasopharyngeal angiofibroma: clinical and radiological presentation
title_sort extranasopharyngeal angiofibroma: clinical and radiological presentation
topic Head and Neck
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560963/
https://www.ncbi.nlm.nih.gov/pubmed/22584751
http://dx.doi.org/10.1007/s00405-012-2041-4
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