“JUVENILE NASOPHARYNGEAL ANGIOFIBROMA”

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.
CT

•  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.

INTERVENTION

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



 

Leave a Comment

Your email address will not be published.

Scroll to Top