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Nasopharyngeal angiofibroma is a histologically benign but locally aggressive vascular tumor that grows in the back of the nasal cavity. It most commonly affects adolescent males and may grow into fissures of the. Nasoangiofibroma youth is a highly vascularized tumor almost exclusively male adolescents presentation. % represents % of head and. Angiofibroma nasofaring juvenile – Free download as PDF File .pdf), Text File . txt) or read online for free.

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Numerical sex chromosome aberrations in juvenile angiofibromas: The color depends on the vascular component and may vary from pale white in less vascular lesions to a pink and wine colored mass in highly vascularized ones.

Two types of lateral extension in juvenile nasopharyngeal angiofibroma: Olfactory neuroblastoma Olfactory neuroblastoma. J Clin Imaging Sci. Nasopharyngeal carcinoma Nasopharyngeal carcinoma. Genetic alterations in juvenile nasopharyngeal angiofibromas. Intricate mixture of stellate and staghorn blood vessels with variable vessel wall thickness ranging from single layer of endothelium to variable smooth muscle coat Irregular fibrous stroma loose, edematous to dense, acellular Stromal cells are stellate fibroblasts with small pyknotic to anviofibroma vesicular nuclei Larger vessels at base of lesion, smaller vessels with plump endothelial cells at growing edge of tumor Multinucleated stromal cells are common Mitotic figures are rare Minimal inflammation.

He had no noteworthy family history or past medical history.

Case 6 Case 6. The blood vessels are slit-like or dilated, organized in clusters and are of different calibers. Although benign, it is a locally aggressive tumor and invades the surrounding tissues and even bone through pressure resorption. Page views in Home About Us Advertise Amazon. JNA is an uncommon benign tumor nasofading affecting adolescent males.

The presentation is typically with obstructive symptoms, epistaxisand chronic juvvenile due to obstruction of the Eustachian tube.

These discrepancies may be due to the monoclonal antibodies which detect only alpha-ER and not the beta ER protein. Plain radiographs no longer play a role in the workup of a suspected juvenile nasopharyngeal angiofibroma, however they may still be obtained in some instances during the assessment of nasal obstruction, or symptoms of sinus obstructions. If nasopharyngeal angiofibroma is suspected based on physical examination a smooth vascular submucosal mass in the posterior nasal cavity of an adolescent maleimaging studies such as CT or MRI should be performed.


Abstract Juvenile nasopharyngeal angiofibroma JNA is a rare benign tumor arising predominantly in the nasopharynx of adolescent males.

Case 2 Case 2. Any lesion with this presentation may be confused with JNA.

Nasopharyngeal angiofibroma

Supply of these tumours is usually via When diagnosed early the patients are treated with a combination of preoperative embolization and surgical resection providing anggiofibroma good prognosis.

Finally, numerous inflammatory cells such as mast cells and T-lymphocytes are seen. MRI is superior to CT for detecting soft tissue extension of the tumor intracranially. The vascular supply to JNAs is primarily from distal internal maxillary artery branches, particularly the sphenopalatine, descending palatine and posterior superior alveolar branches.

Retrieved from ” https: Case 1 Case 1. CT images show a heterodense mass that is centered in the sphenopalatine foramen. Loss of expression of GSTM 1 null genotype is seen in this tumor. By using this site, you agree to the Terms of Use and Privacy Policy. JNA is classified as Type I when the tumor abgiofibroma restricted to the nasal cavity and the nasopharynx without bone destruction, Type II when the tumor invades the pterygomaxillary fossa and maxillary, sphenoidal and ethmoid sinuses with bone destruction, Type III when the tumor invades the infratemporal fossa, the orbit, and the parasellar region but remains lateral to the cavernous sinus and Type IV when the tumor invades the cavernous sinus, the optic chiasma and the pituitary fossa.

Juvenile nasopharyngeal angiofibroma

Accessed December 31st, Huvenile Eustachian tube function, facial deformity, proptosis and changes in visual acuity may be seen. Loading Stack – 0 images remaining. Clinically, however, it is obscure with painless, progressive unilateral nasal obstruction being the common presenting symptom with or without epistaxis and rhinorrhea. Although these masses are thought to arise from the region of the sphenopalatine foramenthey are usually sizeable at diagnosis, frequently with extension medially into the nasopharynxlaterally into the pterygopalatine fossa and over time beyond, into the orbitparanasal sinusesintracranial cavity and infratemporal fossa.


Juvenile nasopharyngeal angiofibromas are benign but highly vascular tumours. It impinges on adjacent structures and causes pressure erosion of bone.

As this tumor is aggressive and expansile, it invades adjacent structures causing further symptoms. It is, as the name suggests, very vascular and a biopsy can sometimes be fatal.

A case report of JNA with rare intra-oral manifestation in a year-old male patient is presented in the article. Molecular pathogenesis of juvenile nasopharyngeal angiofibroma in Brazilian patients.

Juvenile nasopharyngeal angiofibroma | Radiology Reference Article |

JNA being an aggressive tumor may recur posttreatment. Endoscopic approach is an excellent tool in primary and recurrent JNA, it allows visualisation and precise removal of the lesion.

This tumor originates in the lateral wall of the nasal cavity, close to the superior border of the sphenopalatine foramen.

Genetic evidence for an androgen-dependent tumor? The excised gross specimen was soft to firm in consistency, white to yellow with darker vascular areas. Surgery difficult to excisepreoperative embolization or angiofiborma therapy Chemotherapy or radiation therapy if advanced or aggressive.

However, most authors agree that JNAs arise from the posterior choanal tissues in the region of the sphenopalatine foramen. A year-old male patient presented with a painless, progressive swelling in the upper jaw since 2 weeks. Early diagnosis and treatment are required for a good prognosis in JNA. Non-small-cell lung carcinoma Squamous-cell carcinoma Adenocarcinoma Mucinous cystadenocarcinoma Nasoraring lung carcinoma Rhabdoid carcinoma Sarcomatoid carcinoma Carcinoid Salivary gland—like carcinoma Adenosquamous carcinoma Papillary adenocarcinoma Giant-cell carcinoma.

Support Radiopaedia and see fewer ads. J Oral Maxillofac Pathol.