Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients

Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients

Introduction: Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted. Objective: We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pa...

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Main Authors: Vanessa C Stubbs, Lauren E Miller, Arjun K Parasher, Jordan T Glicksman, Nithin D Adappa, James Palmer
Format: Article
Language:English
Published: SAGE Publishing 2019-04-01
Series:Clinical Medicine Insights: Case Reports
Online Access:https://doi.org/10.1177/1179547619841062
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spelling doaj-b7fba98f30db48c4836002a9bcc1df552020-11-25T03:08:24ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762019-04-011210.1177/1179547619841062Nasopharyngeal Angiofibroma: A Forgotten Entity in Older PatientsVanessa C Stubbs0Lauren E Miller1Arjun K Parasher2Jordan T Glicksman3Nithin D Adappa4James Palmer5Department of Otorhinolaryngology—Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USAPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USADepartment of Otolaryngology—Head & Neck Surgery, University of South Florida, Tampa, FL, USANorth Shore Ear Nose and Throat, Danvers, MA, USADepartment of Otorhinolaryngology—Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USADepartment of Otorhinolaryngology—Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USAIntroduction: Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted. Objective: We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pathology. We also present a review of the available NA staging systems. Findings: In this case of NA, imaging revealed an aggressive, hypervascular mass in the nasal cavity with involvement of the middle cranial fossa and cavernous sinus. The patient underwent complete endoscopic surgical resection following vascular embolization. Conclusions: Although it is rare, NA should not be disregarded in the elderly population.https://doi.org/10.1177/1179547619841062
collection DOAJ
language English
format Article
sources DOAJ
author Vanessa C Stubbs
Lauren E Miller
Arjun K Parasher
Jordan T Glicksman
Nithin D Adappa
James Palmer
spellingShingle Vanessa C Stubbs
Lauren E Miller
Arjun K Parasher
Jordan T Glicksman
Nithin D Adappa
James Palmer
Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients
Clinical Medicine Insights: Case Reports
author_facet Vanessa C Stubbs
Lauren E Miller
Arjun K Parasher
Jordan T Glicksman
Nithin D Adappa
James Palmer
author_sort Vanessa C Stubbs
title Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients
title_short Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients
title_full Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients
title_fullStr Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients
title_full_unstemmed Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients
title_sort nasopharyngeal angiofibroma: a forgotten entity in older patients
publisher SAGE Publishing
series Clinical Medicine Insights: Case Reports
issn 1179-5476
publishDate 2019-04-01
description Introduction: Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted. Objective: We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pathology. We also present a review of the available NA staging systems. Findings: In this case of NA, imaging revealed an aggressive, hypervascular mass in the nasal cavity with involvement of the middle cranial fossa and cavernous sinus. The patient underwent complete endoscopic surgical resection following vascular embolization. Conclusions: Although it is rare, NA should not be disregarded in the elderly population.
url https://doi.org/10.1177/1179547619841062
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AT arjunkparasher nasopharyngealangiofibromaaforgottenentityinolderpatients
AT jordantglicksman nasopharyngealangiofibromaaforgottenentityinolderpatients
AT nithindadappa nasopharyngealangiofibromaaforgottenentityinolderpatients
AT jamespalmer nasopharyngealangiofibromaaforgottenentityinolderpatients
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