Overview
Juvenile Angiofibroma is a noncancerous growth of the back of the nose or upper throat.
Angiofibromas are small, reddish brown or even flesh-colored, smooth, shiny, 0.1- to 0.3 cm papules present over the sides of the nose and the medial portions of the cheeks.It contains fibrous tissue
Causes
Juvenile angiofibroma is not very common. It is usually found in adolescent boys. The tumor contains many blood vessels, spreads within the area in which it started (locally invasive), and can cause bone damage.
Symptoms
- Difficulty breathing through the nose
- Easy bruising
- Frequent or repeated nosebleeds
- Hearing loss
- Nasal discharge, usually bloody
- Prolonged bleeding
- Stuffy nose
Exams and Tests
The doctor may see the angiofibroma when examining the upper throat.
Tests that may be done include:
- Arteriogram to see the blood supply to the growth
- CT scan of the head
- MRI scan of the head
- X-ray
Treatment
Treatment is required if the angiofibroma is growing larger, blocking the airways, or causing repeated nosebleeds. In some cases, no treatment is necessary.
Surgery may be needed to remove the tumor. Removal is often difficult because the tumor is not enclosed and may have spread deeply to other areas.
A procedure called embolization may be done to prevent the tumor from bleeding. The procedure may correct the nosebleeds by itself, or it may be followed by surgery to remove the tumor.
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