Juvenile angiofibroma

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Epistaxis

Patient Data

Age: 16 years
Gender: Male
ct

CT of a young male patient demonstrates a mass in the left side of the nasopharynx which widens the sphenopalatine foramen and pterygopalatine fossa.

dsa

Angiography demonstrates vivid enhancement of the mass receiving supply from the external carotid artery. The mass was embolized with particles pre-operatively. 

Case Discussion

Features are characteristic of a juvenile angiofibroma. The patient underwent preoperative embolization and an uneventful resection. 

Case courtesy of Dr M. Heran, Vancouver General Hospital.

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