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Recurrent pterygo-palatal angiofibroma with intracranial extension: case report

We report the case of a patient with recurrent pterygo-palatal angiofibroma and its treatment. A 21-year-old male patient had a long history of recurrent epistaxis with progressive nasal obstruction. He was diagnosed with an angiofibroma centered in the right pterygo-palatine fossa. Initially, he un...

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Autores principales: Abboud, Fatima Zahra, Youssoufi, Moulay Ali, Zoukal, Sofia, Bouhafa, Touria, Hassouni, Khalid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7422746/
https://www.ncbi.nlm.nih.gov/pubmed/32849983
http://dx.doi.org/10.11604/pamj.2020.36.128.22435
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author Abboud, Fatima Zahra
Youssoufi, Moulay Ali
Zoukal, Sofia
Bouhafa, Touria
Hassouni, Khalid
author_facet Abboud, Fatima Zahra
Youssoufi, Moulay Ali
Zoukal, Sofia
Bouhafa, Touria
Hassouni, Khalid
author_sort Abboud, Fatima Zahra
collection PubMed
description We report the case of a patient with recurrent pterygo-palatal angiofibroma and its treatment. A 21-year-old male patient had a long history of recurrent epistaxis with progressive nasal obstruction. He was diagnosed with an angiofibroma centered in the right pterygo-palatine fossa. Initially, he underwent surgical excision with removal of the entire tumor. The evolution was clinically good with no signs of recurrence on the cervico-facial scan of control (CT). Nine months after, he presented a reappearance of epistaxis. A cervico-facial MRI was performed and showed a recurrence of the tumor process, which this time was considered inextirpable, hence the decision to opt for radiotherapy with intensity modulated radiation therapy (IMRT). He has improved clinically with a clear reduction in tumor mass on CT scan. This technique represents an interesting alternative to overcome anatomical complexity of the region, cover the tumor and preserve the organs at risk.
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spelling pubmed-74227462020-08-25 Recurrent pterygo-palatal angiofibroma with intracranial extension: case report Abboud, Fatima Zahra Youssoufi, Moulay Ali Zoukal, Sofia Bouhafa, Touria Hassouni, Khalid Pan Afr Med J Case Report We report the case of a patient with recurrent pterygo-palatal angiofibroma and its treatment. A 21-year-old male patient had a long history of recurrent epistaxis with progressive nasal obstruction. He was diagnosed with an angiofibroma centered in the right pterygo-palatine fossa. Initially, he underwent surgical excision with removal of the entire tumor. The evolution was clinically good with no signs of recurrence on the cervico-facial scan of control (CT). Nine months after, he presented a reappearance of epistaxis. A cervico-facial MRI was performed and showed a recurrence of the tumor process, which this time was considered inextirpable, hence the decision to opt for radiotherapy with intensity modulated radiation therapy (IMRT). He has improved clinically with a clear reduction in tumor mass on CT scan. This technique represents an interesting alternative to overcome anatomical complexity of the region, cover the tumor and preserve the organs at risk. The African Field Epidemiology Network 2020-06-25 /pmc/articles/PMC7422746/ /pubmed/32849983 http://dx.doi.org/10.11604/pamj.2020.36.128.22435 Text en Copyright: Fatima Zahra Abboud et al. https://creativecommons.org/licenses/by/4.0 The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Abboud, Fatima Zahra
Youssoufi, Moulay Ali
Zoukal, Sofia
Bouhafa, Touria
Hassouni, Khalid
Recurrent pterygo-palatal angiofibroma with intracranial extension: case report
title Recurrent pterygo-palatal angiofibroma with intracranial extension: case report
title_full Recurrent pterygo-palatal angiofibroma with intracranial extension: case report
title_fullStr Recurrent pterygo-palatal angiofibroma with intracranial extension: case report
title_full_unstemmed Recurrent pterygo-palatal angiofibroma with intracranial extension: case report
title_short Recurrent pterygo-palatal angiofibroma with intracranial extension: case report
title_sort recurrent pterygo-palatal angiofibroma with intracranial extension: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7422746/
https://www.ncbi.nlm.nih.gov/pubmed/32849983
http://dx.doi.org/10.11604/pamj.2020.36.128.22435
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