Parapharyngeal Space Angiofibroma: A Diagnostic Surprise
Introduction: Angiofibromas classically develop in the lateral wall of the nasopharynx from the sphenopalatine region. Extra-nasopharyngeal angiofibromas are rare entities, with the maxillary sinus being the most common site. Parapharyngeal angiofibroma is an extremely rare entity, being seldom repo...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2021-03-01
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| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | https://ijorl.mums.ac.ir/article_17592_f05e8001cc823743329221f69d04937f.pdf |
| _version_ | 1818366418920407040 |
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| author | Naresh Panda Sourabha Patro Samarendra Behera Parimal Agarwal Ashim Das |
| author_facet | Naresh Panda Sourabha Patro Samarendra Behera Parimal Agarwal Ashim Das |
| author_sort | Naresh Panda |
| collection | DOAJ |
| description | Introduction: Angiofibromas classically develop in the lateral wall of the nasopharynx from the sphenopalatine region. Extra-nasopharyngeal angiofibromas are rare entities, with the maxillary sinus being the most common site. Parapharyngeal angiofibroma is an extremely rare entity, being seldom reported in English literature. Case Report: We present a case of parapharyngeal angiofibroma, which came as a diagnostic surprise in a young adult 25-year-old male. The radiological picture showed a highly vascular lesion, which did draw our attention for not going for a direct or guided FNAC, and upfront excision was planned through the transcervical route. A firm 5 * 7 cm mass was excised and sent for histopathologic examination. The histopathology showed angiofibroma like features as a diagnostic surprise as angiofibroma of parapharyngeal space is a known but rare entity. Conclusion: The knowledge of angiofibroma as a differential in parapharyngeal space will help the clinicians to properly deal with these disorders during preoperative evaluation and definitive surgery and thus prevent the chances of vascular injuries and complications associated with an FNAC. A high level of suspicion regarding this differential as a possible lesion in the parapharynx is required for the entity's diagnosis. |
| first_indexed | 2024-12-13T22:35:51Z |
| format | Article |
| id | doaj.art-b3bfe9eb8f61494e9cfbfc62f990e24c |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-12-13T22:35:51Z |
| publishDate | 2021-03-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-b3bfe9eb8f61494e9cfbfc62f990e24c2022-12-21T23:28:59ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2021-03-0133210711110.22038/ijorl.2020.40983.256117592Parapharyngeal Space Angiofibroma: A Diagnostic SurpriseNaresh Panda0Sourabha Patro1Samarendra Behera2Parimal Agarwal3Ashim Das4Department of Otolaryngology and Head and Neck Surgery, PGIMER, Chandigarh, India.Department of Otolaryngology and Head and Neck Surgery, PGIMER, Chandigarh, India.Department of Otolaryngology and Head and Neck Surgery, PGIMER, Chandigarh, India.Department of Histopathology, PGIMER, Chandigarh, India.Department of Histopathology, PGIMER, Chandigarh, India.Introduction: Angiofibromas classically develop in the lateral wall of the nasopharynx from the sphenopalatine region. Extra-nasopharyngeal angiofibromas are rare entities, with the maxillary sinus being the most common site. Parapharyngeal angiofibroma is an extremely rare entity, being seldom reported in English literature. Case Report: We present a case of parapharyngeal angiofibroma, which came as a diagnostic surprise in a young adult 25-year-old male. The radiological picture showed a highly vascular lesion, which did draw our attention for not going for a direct or guided FNAC, and upfront excision was planned through the transcervical route. A firm 5 * 7 cm mass was excised and sent for histopathologic examination. The histopathology showed angiofibroma like features as a diagnostic surprise as angiofibroma of parapharyngeal space is a known but rare entity. Conclusion: The knowledge of angiofibroma as a differential in parapharyngeal space will help the clinicians to properly deal with these disorders during preoperative evaluation and definitive surgery and thus prevent the chances of vascular injuries and complications associated with an FNAC. A high level of suspicion regarding this differential as a possible lesion in the parapharynx is required for the entity's diagnosis.https://ijorl.mums.ac.ir/article_17592_f05e8001cc823743329221f69d04937f.pdfangiofibromanasopharyngeal neoplasmsparapharyngeal spaceparapharyngeal angiofibroma |
| spellingShingle | Naresh Panda Sourabha Patro Samarendra Behera Parimal Agarwal Ashim Das Parapharyngeal Space Angiofibroma: A Diagnostic Surprise Iranian Journal of Otorhinolaryngology angiofibroma nasopharyngeal neoplasms parapharyngeal space parapharyngeal angiofibroma |
| title | Parapharyngeal Space Angiofibroma: A Diagnostic Surprise |
| title_full | Parapharyngeal Space Angiofibroma: A Diagnostic Surprise |
| title_fullStr | Parapharyngeal Space Angiofibroma: A Diagnostic Surprise |
| title_full_unstemmed | Parapharyngeal Space Angiofibroma: A Diagnostic Surprise |
| title_short | Parapharyngeal Space Angiofibroma: A Diagnostic Surprise |
| title_sort | parapharyngeal space angiofibroma a diagnostic surprise |
| topic | angiofibroma nasopharyngeal neoplasms parapharyngeal space parapharyngeal angiofibroma |
| url | https://ijorl.mums.ac.ir/article_17592_f05e8001cc823743329221f69d04937f.pdf |
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