Head and Neck Pathology

, Volume 4, Issue 3, pp 210–213 | Cite as

Nasopharyngeal Angiofibroma of the Nasal Cavity

  • S. Marc Stokes
  • James T. CastleEmail author
Sine qua none Radiology-Pathology


A 13 year-old male with a chief complaint of recurrent epistaxis is shown to have a pearly white mass in right nasal cavity on physical exam.

Radiographic Features

Computed tomography scans and magnetic resonance imaging studies are currently the mainstay for diagnosis and aid in delineating the extent of tumor and degree of surrounding tissue destruction. An anterior bowing of the posterior wall of the maxillary sinus, the “antral bowing sign,” can be identified in most patients. Other commonly seen radiographic changes include widening of the inferolateral aspect of the superior orbital fissure, distortion of the pterygoid plates, erosion of the hard palate, disruption of the medial wall of maxillary sinus, and displacement of the nasal septum.

In the current case, visualization of an axial T2 weighted magnetic resonance image demonstrated an intermediate to high signal, well-circumscribed mass noted in the right nasal cavity and chonca at the level of the condyles which...


Nasal Cavity Maxillary Sinus Chordoma Solitary Fibrous Tumor Infratemporal Fossa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We acknowledge and appreciate the radiographic interpretation expertise of Dr. Ann Monasky.


The opinions and assertions expressed herein are those of the authors and are not to be construed as official or representing the views of the Department of the Navy or the Department of Defense.


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Copyright information

© US Government 2010

Authors and Affiliations

  1. 1.Department of Oral & Maxillofacial PathologyNaval Postgraduate Dental School, NMMPT&EBethesdaUSA

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