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Massive Angiomatous Nasal Polyp Mimicking Nasopharyngeal Angiofibroma

  • Neena Chaudhary
  • Ankur Gupta
  • Anukaran MahajanEmail author
Clinical Report
  • 19 Downloads

Abstract

Angiomatous Nasal polyps is the rarest entity amongst the various types of nasal polyps known. It presents as mass filling the nasal cavity with extensions into surrounding structures; patients often presenting with symptoms of nasal obstruction and epistaxis, thus, mimicking nasal angiofibromas or malignancies. Here, we present a case of 16-year-old male, with complaints of unilateral nasal obstruction, intermittent epistaxis, anosmia, headache, ipsilateral epiphora and facial swelling. Further examination and investigations favoured a diagnosis of an angiomatous polyp with extension into surrounding structures. Surgical excision was carried out. Histopathological studies on the excised specimen were in line with the preoperative diagnosis. The patient remains disease free at a follow of 1 year.

Keywords

Nasal polyps Angiomatous polyp Juvenile nasopharyngeal angiofibroma Midfacial degloving approach 

References

  1. 1.
    Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J et al (2008) Scott-Brown’s otorhinolaryngology, head and neck surgery, 7th edn. Hodder Arnold, Great BritainCrossRefGoogle Scholar
  2. 2.
    Sinha SN (1967) Observations on histology of nasal polypi. Indian J Otolaryngol Head Neck Surg 19(4):164–168Google Scholar
  3. 3.
    Nimbkar SA, Sane SY (1978) Histology and histochemistry of nasal polyps. J Postgrad Med 24:231–234PubMedGoogle Scholar
  4. 4.
    Yfantis HG, Drachenberg CB, Gray W, Papadimitriou JC (2000) Angiectatic nasal polyps that clinically simulate a malignant process: report of 2 cases and review of the literature. Arch Pathol Lab Med 124:406–410.  https://doi.org/10.1043/0003-9985(2000)124%3c0406:ANPTCS%3e2.0.CO;2 CrossRefPubMedGoogle Scholar
  5. 5.
    Goyal S, Jayavardhan G, Goyal S, Saini I (2015) Angiomatous nasal polyp: clinical diagnostic dilemma. Int J Cancer Ther Oncol.  https://doi.org/10.14319/ijcto.0301.8 CrossRefGoogle Scholar
  6. 6.
    Bao Y, Bian J, Cheng C, Han H, Shen L et al (2016) Clinical and pathological features in a case of angiomatous nasal polyp. Int J Clin Exp Med 9(11):22901–22906Google Scholar
  7. 7.
    De Vuysere S, Hermans R, Marchal G (2001) Sinonasal polyp and its variant, the angiomatous polyp: MRI findings. Eur Radiol 1:55–58.  https://doi.org/10.1007/s003300000565 CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of ENTVardhman Mahavir Medical College and Safdarjung HospitalNew DelhiIndia

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