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Nasal mucosa
Nasal mucosa


Definition:

Juvenile angiofibroma is a noncancerous growth of the back of the nose or upper throat.



Alternative Names:

Nasal tumor; Angiofibroma - juvenile; Benign nasal tumor



Causes, incidence, and risk factors:

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:

Signs and tests:

The doctor may see the angiofibroma when examining the upper throat.

Tests that may be done include:



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.



Support Groups:



Expectations (prognosis):

Although not cancerous, angiofibromas may continue to grow. Some may disappear on their own.

It is common for the tumor to return after surgery.



Complications:
  • Anemia
  • Pressure on the brain (rare)
  • Spread of the tumor to the nose, sinuses, and other structures


Calling your health care provider:

Call your health care provider if you often have nosebleeds.



Prevention:

There is no known way to prevent this condition.



References:

Cummings CW, Flint PW, Haughey BH, et al. Otolaryngology: Head & Neck Surgery. 4th ed. St Louis, Mo: Mosby; 2005.

Grainger RC, Allison D, Adam, Dixon AK. Diagnostic Radiology: A Textbook of Medical Imaging. 4th ed. Orlando, Fl: Churchill Livingstone; 2001.




Review Date: 1/30/2008
Reviewed By: James L. Demetroulakos, M.D., F.A.C.S., Department of Otolaryngology, North Shore Medical Center, Salem, MA. Clinical Instructor in Otology and Laryngology, Harvard Medical School. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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