Angiofibroma

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Benign tumor of the back of the nose or nasopharynx

Presentation

  • Male adolescent
  • Nasal obstructions
  • Visible mass
  • Epistaxis

Complication

Local erosion and invasion

Diagnosis

  • Male adolescent with epistaxis, mass, bony erosion of the back of the nose has an angiofibroma until proven otherwise
  • CT (?)

Treatment

  • Surgery if enlarging, obstructing airway, chronic epistaxis
  • Occasionally no treatment

Differential diagnosis

  • Cocaine (no mass)
  • Coagulopathy (no mass)
  • Polyps (no erosion, associated with allergies/infections, bleeding is not much of a problem)
  • Chondroma (not in young adults)