This is the most common benign nasopharyngeal tumour. The typical scenario is a teenaged boy with epistaxis. 
These are highly vascular tumours and can be locally aggressive.

•  Densely enhancing mass involving the nasal wall, retromaxillary or pterygopalatine fossa.
•  Widening of the pterygopalatine fossa in 90%—pathognomonic.
•  Erosion of the medial pterygoid plate is characteristic.
•  Homogeneous intense enhancement post-contrast.


•  Intense tumour blush on angiography.
•  Lesions are embolised prior to surgery to reduce bleeding.


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