Juvenile nasopharyngeal angiofibroma: a case report

Abstract

Introduction: Juvenile nasopharyngeal angiofibroma (JNA) is a rare and locally invasive benign hypervascular neoplasm, representing 0.05 to 0.5% of all neoplasms in the head and neck. Though it is benign, it has an aggressive nature. The clinical presentation of this tumor is a triad of epistaxis, unilateral nasal obstruction, and a mass in the nasopharynx. It could cause massive epistaxis or intracranial involvement, which both lead to fatal consequences. It is most commonly seen in adolescent males because it is considered an androgen-dependent tumor.

Case Presentation: This report introduced a case of a 13-year-old Saudi male patient who presented two months after surgical removal of JNA with a complaint of progressively left-sided nasal blockage, snoring, rhinorrhea, hyposmia, and oral fullness with no epistaxis. Computed tomography (CT) with contrast of the sinuses was done and confirmed the recurrence of angiofibroma.

Conclusion: This report revealed a recurrent period of two months after the surgical removal of a primary tumor, which is shorter than the typical period of recurrence.