ANGIOFIBROMA IN A 50-YEAR-OLD PATIENT

Authors

  • Syed Shahmeer Raza Khyber medical college
  • Syed Muhammad Owais Khyber medical college
  • Salman Zahid Khyber medical college
  • Ihtisham Ul Haq Khyber Teaching Hospital
  • Haris Manan Khyber Teaching Hospital
  • Syeda Fizza Qasim Khyber Teaching Hospital
  • Farhan Ullah Khyber Medical College
  • Asfandiar Shahrukh Hijaz Khyber Teaching Hospital
  • Osamah Riaz Khan Khyber Medical College

Abstract

Juvenile Angiofibroma (JNA) is a benign tumour that tends to bleed and occur in the nasopharynx with most cases occurring in pre-pubertal and adolescent males 10 to 20 years. We present the case of a 50-year-old male shopkeeper who consulted the ENT out patients' department (OPD) of Khyber Teaching Hospital (KTH) with the chief complaint of right sided nasal obstruction for the last 2.5 months which was associated with two episodes of epistaxis and diplopia which started 2 months back. He complained of right sided frontal and periorbital pain for the last 15 days. Past medical and surgical history was insignificant. Computerized Tomography (CT) scan without contrast and magnetic resonance imaging (MRI) showed finding consistent with a pedunculated tumour like growth. After baseline investigations, surgery was done and a Wilson's incision was given and the mass was excised and sent to the lab for histopathological report which showed angiofibroma. The age of the patient shows that this is a very rare case of angiofibroma. Dissection of such tumours is important as they have propensity to bleed. Excision along with biopsy is the method of choice. Proper surgical techniques and use of better medical technology are required to make and early diagnosis. Further studies/case reports around the world would assert our findings that a nasopharyngeal angiofibroma can also be found in middle aged men.

Keywords: Nasopharyngeal Angiofibroma; Nasopharynx; Nasal obstruction; Wilson's Incision

References

Lund VJ, Stammberger H, Nicolai P, Castelnuovo P, Beal T, Beham A, et al. European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base. Rhinol Suppl 2010;(22):1-143.

Schiff M, Gonzalez AM, Ong M, Baird A. Juvenile nasopharyngeal angiofibroma contain an angiogenic growth factor: basic FGF. Laryngoscope 1992;102(8):940-5.

Martin H, Ehrlich HE, Abels JC. Juvenile nasopharyngeal angiofibroma. Ann Surg 1948;127(3):513-36.

Sivanandan R, Fee WW. Benign and malignant tumors of the nasopharynx. In: Cummings CW, Haughey BH, Harker LA, editors. Cummings Otolaryngology: Head and Neck Surgery. Philadelphia, PA: Mosby; 2004. p.1669-84.

Jacobsson M, Petruson B, Svendsen P, Berthelsen B. Juvenile nasopharyngeal angiofibroma: A report of eight cases. Acta Otolaryngol 1988;105(1-2):132-9.

Midilli R, Karci B, Akyildiz S. Juvenile nasopharyngeal angiofibroma: analysis of 42 cases and important aspects of endoscopic approach. Int J Pediatr Otorhinolaryngol 2009;73(3):401-8.

Enepekides DJ. Recent advances in the treatment of juvenile angiofibroma. Curr Opin Otolaryngol Head Neck Surg 2004;12(6):495-9.

Khan MN, Raza SS, Zaidi SA, Hussain AK, Nadeem MD, Farid K. Pleomorphic adenoma of minor salivary glands. Journal of Ayub Medical College Abbottabad 2016;28(3):620-2.

Herman B, Bublik M, Ruiz J, Younis R. Endoscopic embolization with onyx prior to resection of JNA: a new approach. Int J Pediatr Otorhinolaryngol 2010;75(1):53-6.

Yiotakis I, Eleftheriadou A, Davilis D, Giotakis E, Ferekidou E, Korres S, et al. Juvenile nasopharyngeal angiofibroma stages I and II: a comparative study of surgical approaches. Int J Pediatr Otorhinolaryngol 2008;72(6):793-800.

Haq IU, Din IU, Ahmad N, Khan IU, Raza SS, Khan S. All About Parotid Gland. USA: Amazon.com. 2017. CreateSpace Independent Publishing Platform. ISBN: 978-1547229222

Downloads

Published

2017-07-11

How to Cite

Raza, S. S., Owais, S. M., Zahid, S., Haq, I. U., Manan, H., Qasim, S. F., … Khan, O. R. (2017). ANGIOFIBROMA IN A 50-YEAR-OLD PATIENT. Journal of Ayub Medical College Abbottabad, 29(3), 501–503. Retrieved from https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/2010

Issue

Vol. 29 No. 3 (2017): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

CASE REPORT

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.