Angiofibroma Originating outside the Nasopharynx: A Management Dilemma

Background. Angiofibroma is a benign tumor, consisting of fibrous tissue with varying degrees of vascularity, characterized by proliferation of stellate and spindle cells around the blood vessels. It most commonly arises from the nasopharynx, although it may rarely arise in extranasopharyngeal sites...

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Main Authors: Ashraf Nabeel Mahmood, Rashid Sheikh, Hamad Al Saey, Sarah Ashkanani, Shanmugam Ganesan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/3065657
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author Ashraf Nabeel Mahmood
Rashid Sheikh
Hamad Al Saey
Sarah Ashkanani
Shanmugam Ganesan
author_facet Ashraf Nabeel Mahmood
Rashid Sheikh
Hamad Al Saey
Sarah Ashkanani
Shanmugam Ganesan
author_sort Ashraf Nabeel Mahmood
collection DOAJ
description Background. Angiofibroma is a benign tumor, consisting of fibrous tissue with varying degrees of vascularity, characterized by proliferation of stellate and spindle cells around the blood vessels. It most commonly arises from the nasopharynx, although it may rarely arise in extranasopharyngeal sites. Case Report. A 46-year-old male presented with left side nasal obstruction and epistaxis for one month. Clinical nasal examination revealed left sided polypoidal mass arising from the vestibular region of the lateral nasal wall. Results. CT scan and MRI showed highly vascular soft tissue mass occupying the anterior part of the left nostril. Preoperative selective embolization followed by transnasal excision was performed. Histopathological examination confirmed the diagnoses of nasal vestibular angiofibroma. Conclusion. Extranasopharyngeal angiofibroma is a very rare pathology. It should be kept in mind as a differential diagnosis with any unilateral nasal vestibular mass causing nasal obstruction and epistaxis. A biopsy without further investigation can cause life threatening bleeding in the patient.
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spelling doaj-art-aba82d9ca5a4495384a034dd31c44e022025-08-20T03:39:39ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/30656573065657Angiofibroma Originating outside the Nasopharynx: A Management DilemmaAshraf Nabeel Mahmood0Rashid Sheikh1Hamad Al Saey2Sarah Ashkanani3Shanmugam Ganesan4Rhinology Section, Otorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Rumailah Hospital, Hamad Medical Corporation, Doha, QatarOtorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Rumailah Hospital, Hamad Medical Corporation, Doha, QatarRhinology Section, Otorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Rumailah Hospital, Hamad Medical Corporation, Doha, QatarRhinology Section, Otorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Rumailah Hospital, Hamad Medical Corporation, Doha, QatarOtorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Rumailah Hospital, Hamad Medical Corporation, Doha, QatarBackground. Angiofibroma is a benign tumor, consisting of fibrous tissue with varying degrees of vascularity, characterized by proliferation of stellate and spindle cells around the blood vessels. It most commonly arises from the nasopharynx, although it may rarely arise in extranasopharyngeal sites. Case Report. A 46-year-old male presented with left side nasal obstruction and epistaxis for one month. Clinical nasal examination revealed left sided polypoidal mass arising from the vestibular region of the lateral nasal wall. Results. CT scan and MRI showed highly vascular soft tissue mass occupying the anterior part of the left nostril. Preoperative selective embolization followed by transnasal excision was performed. Histopathological examination confirmed the diagnoses of nasal vestibular angiofibroma. Conclusion. Extranasopharyngeal angiofibroma is a very rare pathology. It should be kept in mind as a differential diagnosis with any unilateral nasal vestibular mass causing nasal obstruction and epistaxis. A biopsy without further investigation can cause life threatening bleeding in the patient.http://dx.doi.org/10.1155/2016/3065657
spellingShingle Ashraf Nabeel Mahmood
Rashid Sheikh
Hamad Al Saey
Sarah Ashkanani
Shanmugam Ganesan
Angiofibroma Originating outside the Nasopharynx: A Management Dilemma
Case Reports in Otolaryngology
title Angiofibroma Originating outside the Nasopharynx: A Management Dilemma
title_full Angiofibroma Originating outside the Nasopharynx: A Management Dilemma
title_fullStr Angiofibroma Originating outside the Nasopharynx: A Management Dilemma
title_full_unstemmed Angiofibroma Originating outside the Nasopharynx: A Management Dilemma
title_short Angiofibroma Originating outside the Nasopharynx: A Management Dilemma
title_sort angiofibroma originating outside the nasopharynx a management dilemma
url http://dx.doi.org/10.1155/2016/3065657
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AT sarahashkanani angiofibromaoriginatingoutsidethenasopharynxamanagementdilemma
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