Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients

INTRODUCTION: Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted. OBJECTIVE: We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pa...

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Detalles Bibliográficos
Autores principales: Stubbs, Vanessa C, Miller, Lauren E, Parasher, Arjun K, Glicksman, Jordan T, Adappa, Nithin D, Palmer, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480991/
https://www.ncbi.nlm.nih.gov/pubmed/31040732
http://dx.doi.org/10.1177/1179547619841062
Descripción
Sumario:INTRODUCTION: Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted. OBJECTIVE: We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pathology. We also present a review of the available NA staging systems. FINDINGS: In this case of NA, imaging revealed an aggressive, hypervascular mass in the nasal cavity with involvement of the middle cranial fossa and cavernous sinus. The patient underwent complete endoscopic surgical resection following vascular embolization. CONCLUSIONS: Although it is rare, NA should not be disregarded in the elderly population.

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