Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child

Nasopharyngeal Angiofibromas (NA) are benign fibro-vascular tumours, predominantly occurring in the region around sphenopalatine foramen of adolescent males. Angiofibromas arising outside nasopharynx are termed as Extra-Nasopharyngeal Angiofibromas (ENA) which often gets misdiagnosed because of its...

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Main Authors: Subhro Ganguly, Surendra H Gawarle, Prashant N Keche
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:http://jcdr.net/articles/PDF/10771/27897_CE[Ra]_F(Sh)_PF1(PG_AP)_PFA(PG_AP).pdf
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author Subhro Ganguly
Surendra H Gawarle
Prashant N Keche
author_facet Subhro Ganguly
Surendra H Gawarle
Prashant N Keche
author_sort Subhro Ganguly
collection DOAJ
description Nasopharyngeal Angiofibromas (NA) are benign fibro-vascular tumours, predominantly occurring in the region around sphenopalatine foramen of adolescent males. Angiofibromas arising outside nasopharynx are termed as Extra-Nasopharyngeal Angiofibromas (ENA) which often gets misdiagnosed because of its rarity and atypical clinical and biological behaviour. We present a case of angiofibroma of nasal septum in a seven-year-old boy presenting with two months history of left nasal obstruction and occasional nasal bleeding. CECT revealed a contrast enhanced soft tissue mass in left nasal cavity with no extension into the sinuses and nasopharynx. The mass was completely removed by lateral rhinotomy approach and a follow up of ten months showed no recurrence. Histopathology and immunohistochemistry confirmed the diagnosis of angiofibroma. The age of the patient and the location of the tumour make the case exceptionally rare. We conclude that ENA must be taken into consideration in differential diagnosis of unilateral vascular nasal mass, and nasal septum should be taken into account as a potential, yet exceptional site for the tumour. Furthermore the age and gender of the patient should not be given utmost importance for diagnosis of angiofibromas.
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spelling doaj.art-3e3086a57dbd4e1abbfe7ff6b9d28f222022-12-22T00:09:04ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research0973-709X2249-782X2017-10-011110XD01XD0210.7860/JCDR/2017/27897.10771Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal ChildSubhro Ganguly0Surendra H Gawarle1Prashant N Keche2Senior Resident, Department of Oto-Rhino-Laryngology, Topiwala National Medical College, Mumbai, Maharashtra, India.Professor, Department of Oto-Rhino-Laryngology, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India.Associate Professor, Department of Oto-Rhino-Laryngology, Government Medical College, Aurangabad, Maharashtra, India.Nasopharyngeal Angiofibromas (NA) are benign fibro-vascular tumours, predominantly occurring in the region around sphenopalatine foramen of adolescent males. Angiofibromas arising outside nasopharynx are termed as Extra-Nasopharyngeal Angiofibromas (ENA) which often gets misdiagnosed because of its rarity and atypical clinical and biological behaviour. We present a case of angiofibroma of nasal septum in a seven-year-old boy presenting with two months history of left nasal obstruction and occasional nasal bleeding. CECT revealed a contrast enhanced soft tissue mass in left nasal cavity with no extension into the sinuses and nasopharynx. The mass was completely removed by lateral rhinotomy approach and a follow up of ten months showed no recurrence. Histopathology and immunohistochemistry confirmed the diagnosis of angiofibroma. The age of the patient and the location of the tumour make the case exceptionally rare. We conclude that ENA must be taken into consideration in differential diagnosis of unilateral vascular nasal mass, and nasal septum should be taken into account as a potential, yet exceptional site for the tumour. Furthermore the age and gender of the patient should not be given utmost importance for diagnosis of angiofibromas.http://jcdr.net/articles/PDF/10771/27897_CE[Ra]_F(Sh)_PF1(PG_AP)_PFA(PG_AP).pdfPre-pubertal childNasal septum
spellingShingle Subhro Ganguly
Surendra H Gawarle
Prashant N Keche
Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child
Journal of Clinical and Diagnostic Research
Pre-pubertal child
Nasal septum
title Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child
title_full Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child
title_fullStr Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child
title_full_unstemmed Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child
title_short Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child
title_sort extra nasopharyngeal angiofibroma in a pre pubertal child
topic Pre-pubertal child
Nasal septum
url http://jcdr.net/articles/PDF/10771/27897_CE[Ra]_F(Sh)_PF1(PG_AP)_PFA(PG_AP).pdf
work_keys_str_mv AT subhroganguly extranasopharyngealangiofibromainaprepubertalchild
AT surendrahgawarle extranasopharyngealangiofibromainaprepubertalchild
AT prashantnkeche extranasopharyngealangiofibromainaprepubertalchild