Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal ChildCorrespondence Address :
Dr. Subhro Ganguly,
Topiwala National Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
Nasopharyngeal Angiofibromas (NA) are benign fibro-vascular tumours, predominantly occurring in the region around sphenopalatine foramen of adolescent males. Angiofibromas arising outside nasopharynx are termed as Extra-Nasopharyngeal Angiofibromas (ENA) which often gets misdiagnosed because of its rarity and atypical clinical and biological behaviour. We present a case of angiofibroma of nasal septum in a seven-year-old boy presenting with two months history of left nasal obstruction and occasional nasal bleeding. CECT revealed a contrast enhanced soft tissue mass in left nasal cavity with no extension into the sinuses and nasopharynx. The mass was completely removed by lateral rhinotomy approach and a follow up of ten months showed no recurrence. Histopathology and immunohistochemistry confirmed the diagnosis of angiofibroma. The age of the patient and the location of the tumour make the case exceptionally rare. We conclude that ENA must be taken into consideration in differential diagnosis of unilateral vascular nasal mass, and nasal septum should be taken into account as a potential, yet exceptional site for the tumour. Furthermore the age and gender of the patient should not be given utmost importance for diagnosis of angiofibromas.
Pre-pubertal child, Nasal septum, Unilateral vascular nasal mass
Subhro Ganguly, Surendra H Gawarle, Prashant N Keche. EXTRA-NASOPHARYNGEAL ANGIOFIBROMA IN A PRE-PUBERTAL CHILD. Journal of Clinical and Diagnostic Research [serial online] 2017 October [cited: 2018 Jan 21 ]; 11:XD01-XD02. Available from
Date of Submission: Feb 26, 2017
Date of Peer Review: Apr 10, 2017
Date of Acceptance: Jun 13, 2017
Date of Publishing: Oct 01, 2017
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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