Nasal Juvenile Angiofibroma vs Arteriovenous Hemangioma, Diagnosis Challenge. Case report
Nasoangiofibroma Juvenil vs Hemangioma arteriovenoso, Reto diagnostico. Reporte de caso.
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Ramirez Merlano, S. A. (2018). Nasal Juvenile Angiofibroma vs Arteriovenous Hemangioma, Diagnosis Challenge. Case report. Archivos De Medicina , 18(1), 201-207. https://doi.org/10.30554/archmed.18.1.2536.2018
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How to Cite
Ramirez Merlano, S. A. (2018). Nasal Juvenile Angiofibroma vs Arteriovenous Hemangioma, Diagnosis Challenge. Case report. Archivos De Medicina , 18(1), 201-207. https://doi.org/10.30554/archmed.18.1.2536.2018
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aggressive but uncommon, it only represents 0,05% of all head
and neck tumors, with an approximate incidence of 1:150-000.
On the other hand hemangiomas are benign neoplasms of
endothelial cells, they represent 7% of vascular tumors and
they are uncommon lesions of the head and neck but Are they
the same entity?, Can a clear line be drawn to differentiate
them?. The objective of this article is to provide information
about these two clinical entities and answer the questions
previously asked.This is the clinical case of a 19 year old male, that consulted for left headache, left earache and left ocular oppression of 7 days of evolution. Brain axial constrast computed tomography showed a mass of soft tissue density that occupies the left coana, partially infiltrates the posterior region left nasal fossa, erodes the pterygoid process and the floor of left the sphenoid cell. Biopsy was performed by means of nasofibrolaryngoscopy in the office, previos to infiltration with lidocaine, two samples of lesion were taken in the left choana without significant bleeding; the pathological report informs arteriovenous hemangioma. it was decided to perform a pre-surgical embolization. After this, the surgical procedure was carried out without complications. Finally, the excisional biopsy reported a juvenil nasoangiofibroma with immunohistochemical study of CD31 and CD34 reactive in wall of vascular structures. Nasal Juvenile Nasoangiofibroma is the most common tumor of the nasopharynx in adolescent males, the absence of recurrent unilateral epistaxis should not rule out the diagnosis.
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