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Case report


Imaging in the diagnosis of juvenile nasopharyngeal angiofibroma.

Satyaranjan MishraN M PraveenaRajat Golakh PanigrahiY Mogit Gupta
Departments of Oral Medicine and Radiology, SCB Dental College, Cuttack, Odisha, Thai Moogambigai Dental College and Hospital, Mugappair, Chennai, Tamil Nadu, Institute of Dental Sciences, Kalinganagar, Bhubaneswar, Odisha, and Saveetha Dental College and Hospital, Velapanchavadi, Chennai, Tamil Nadu, India
Date of Submission: 19-Sep-2012, Date of Acceptance: 13-Jan-2013, Date of Web Publication: 22-Mar-2013.
Corresponding Author:

Satyaranjan Mishra

Prasanti, Kathogola Road, Mangalabag,Cuttack ‑ 753 001, Odisha, India.
E-mail: drsatyaranjanmds@gmail.com

Corresponding Author:

Satyaranjan Mishra

Prasanti, Kathogola Road, Mangalabag,Cuttack ‑ 753 001, Odisha, India.
E-mail: drsatyaranjanmds@gmail.com

DOI: 10.4103/2156-7514.109469 Facebook Twitter Google Linkedin

ABSTRACT


Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign, highly vascular, and locally aggressive tumor that predominantly occurs in adolescent males. Usually, the presenting symptom is a painless nasal obstruction or epistaxis; however, other symptoms may develop depending on the size and extent of the tumor mass. Owing to the vascularity of the tumor, incisional biopsy is not attempted. The diagnosis is dependent on multiplanar imaging modalities like Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and Angiography. These imaging modalities help in assessing the tumor mass, pre-operative embolization of the feeder vessel, and treatment planning. Usually, patients with JNA are diagnosed by otorhinolaryngologists, but here, we present a rare case of JNA reporting to the dental hospital due to a tender palatal swelling.
Keywords: Adolescent Males, Juvenile Nasopharyngeal Angiofibroma, Aggressive Vascular Benign Tumor, Multiplanar Imaging

Cited in 13 Documents

  1. Angel Sanchez-Montanez, Elida Vazquez and Mauricio Castillo (2017) Pediatric Neuroradiology. (Chapter 64-1):1. doi: 10.1007/978-3-662-46258-4_64-1
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  3. Vevek Parikh and Charles Hennemeyer (2014) Microspheres embolization of juvenile nasopharyngeal angiofibroma in an adult. International Journal of Surgery Case Reports 5(12):1203. doi: 10.1016/j.ijscr.2014.10.019
  4. Claiton Heitz, Alexandre Weber, Leandro Dini, Guilherme Pivatto Louzada and Eduardo Lombardo (2018) Juvenile Nasopharyngeal Angiofibroma With Sphenoid Sinus Invasion and Protrusion. Journal of Craniofacial Surgery 29(4):e405. doi: 10.1097/SCS.0000000000004410
  5. P. Ryan Camilon, Reza Rahbar, Michael J. Cunningham and Eelam A. Adil (2018) Juvenile nasopharyngeal angiofibroma in prepubertal males: A diagnostic dilemma. The Laryngoscope :. doi: 10.1002/lary.27633
  6. Alessandro Franchi, Annarita Palomba and Samir K. El-Mofty (2016) Pathology of the Head and Neck. (Chapter 6):295. doi: 10.1007/978-3-662-49672-5_6
  7. Alexis Vuzitas and Claudiu Manea (2018) Juvenile nasopharyngeal angiofibroma – literature review and case series. 8(29):17. doi: 10.2478/rjr-2018-0002
  8. Celeste Sánchez-Romero, Roman Carlos, Juan Pablo Díaz Molina, Lester D. R. Thompson, Oslei Paes de Almeida and Alicia Rumayor Piña (2018) Nasopharyngeal Angiofibroma: A Clinical, Histopathological and Immunohistochemical Study of 42 Cases with Emphasis on Stromal Features. Head and Neck Pathol 12(1):52. doi: 10.1007/s12105-017-0824-z
  9. Bharat Sharma, Shweta Sharma, Shashi Sharma, Naveen Bhardwaj, Sakshi Dewan and Mir Aziz (2017) Clinico-radiological evaluation of Juvenile Nasopharyngeal Angiofibromas: two case reports. EJMCR :79. doi: 10.24911/ejmcr/1/20
  10. (2016) Juvenile Nasopharyngeal Angiofibroma: Magnetic Resonance Imaging Findings. 100(1):. doi: 10.5334/jbr-btr.1090
  11. Hiroyuki Tatekawa, Taro Shimono, Masahiko Ohsawa, Satoshi Doishita, Shinichi Sakamoto and Yukio Miki (2018) Imaging features of benign mass lesions in the nasal cavity and paranasal sinuses according to the 2017 WHO classification. Jpn J Radiol 36(6):361. doi: 10.1007/s11604-018-0739-y
  12. Mihir Trivedi, Roshani J. Desai, Nayana A. Potdar, Chhaya A. Shinde, Vivek Ukirde, Maunil Bhuta and Akshay Gopinathan Nair (2015) Vision Loss due to Central Retinal Artery Occlusion Following Embolization in a Case of a Giant Juvenile Nasopharyngeal Angiofibroma. Journal of Craniofacial Surgery 26(5):e451. doi: 10.1097/SCS.0000000000001936
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