Juvenile nasopharyngeal angiofibroma in a 20 year old Nigerian male

Abstract

Background: Juvenile Nasopharyngeal angiofibroma is a rare benign tumour of the nasopharynx that occurs predominantly in adolescent males in the second decade of life. This paper presents misdiagnosis of a 20 year old male with Juvenile nasopharyngeal angiofibroma (JNA).
Methods: The case record of a 20year old male who presented with recurrent spontaneous profuse epistaxis, progressive nasal obstruction, hyponasality and conductive hearing loss with mass in the post nasal space was reviewed.
Results: Examination under anaesthesia revealed a firm, purplish, hemorrhagic smooth tumour filling the nasopharynx. He had a trans-palatal excisional biopsy for which histology confirmed angiofibroma.
Conclusion: Male juvenile patients presenting with recurrent epistaxis need early referral to the Otorhinolaryngologist for further evaluation.

Keywords: Epistaxis, Angiofibroma,