Nasopharyngeal Angiofibroma of the Nasal Cavity
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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.
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.
KeywordsNasal Cavity Maxillary Sinus Chordoma Solitary Fibrous Tumor Infratemporal Fossa
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.
- 1.Batsakis JG. Tumors of the head and neck: clinical and pathological considerations. 2nd ed. Baltimore: Williams & Wilkins; 1979. p. 296–300.Google Scholar
- 3.Hwang HC, Mills SE, Patterson K, et al. Expression of androgen receptors in nasopharyngeal angiofibroma: an immunohistochemical study of 24 cases. Mod Pathol. 1998;11:122–1126.Google Scholar
- 6.Hyams VJ. Tumors of the upper respiratory tract: vascular tumors. In: Hyams VJ, Batsakis JG, Micheals L, editors. Atlas of tumor pathology, 2nd series. Washington, DC: Armed Forces Institute of Pathology; 1986. p. 130–45.Google Scholar
- 13.Neville BW, Damm DD, Allen CM, Bouqout JE. Oral and maxillofacial pathology. St. Louis: WB Saunders Company; 2009. p. 692–5.Google Scholar
- 14.Wanamaker JR, Lavertu P, Levine HL. Juvenile angiofibroma. In: Kraus DH, Levine HL, editors. Nasal neoplasia. New York: Thieme; 1997. p. 61–84.Google Scholar