Radiation therapy as an alternative to surgery in the management of intracranial juvenile nasopharyngeal angiofibroma

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Radiation therapy as an alternative to surgery in the management of intracranial juvenile nasopharyngeal angiofibroma.

Juvenile nasopharyngeal angiofibroma is a benign, vascular tumor which typically presents in adolescent males. Although surgical resection is usually recommended for the management of this tumor, external beam radiation therapy has also been advocated in the literature. We report three cases of large juvenile nasopharyngeal angiofibromas with extensive intracranial extension primarily managed w...

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Juvenile Nasopharyngeal Angiofibroma

Review of the literature was performed to define the optimal treatment of patients with juvenile nasopharyngeal angiofibroma (JNA). The prognosis for this disease is extremely good if diagnosed well in time and if the tumor has not extended intracranially. Preoperative selective arterial embolization has decreased intraoperative blood loss and facilitated resection of larger tumors. Transnasal ...

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Nasal Angiomyolipoma (AML) Mimicking Juvenile Nasopharyngeal Angiofibroma

Introduction: Angiomyolipoma (AML), a benign mesenchymal tumor that commonly arises from the kidney, may be associated with tuberous sclerosis complex and perivascular epithelioid cell tumors (PEComas). Nasal angiomyolipoma is very rare and usually occurs in elderly individuals with epistaxis and nasal obstruction.   Case Report: We report a rare case of nasal angiomyoli...

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Recurrent Juvenile Nasopharyngeal Angiofibroma Treated with Gamma Knife Surgery

Radiosurgery has been rarely applied for juvenile nasopharyngeal angiofibroma (JNA) and cumulative reports are lacking. The authors report a case of successful treatment of recurred JNA with gamma knife surgery (GKS). A 48-yr-old man was presented with right visual acuity deterioration and brain magnetic resonance images (MRI) disclosed a 3 cm-sized intraorbital mass in the right orbit. He unde...

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Juvenile nasopharyngeal angiofibroma recurrence associated with exogenous testosterone therapy.

BACKGROUND Juvenile nasopharyngeal angiofibromas (JNAs) are rare benign lesions that express hormonal receptors. This report describes a recurrence of a JNA 20 years after excision associated with exogenous testosterone therapy. METHODS A 36-year-old man developed a sphenoid mass 20 years following resection of a JNA, shortly after initiating exogenous testosterone therapy for symptomatic low...

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ژورنال

عنوان ژورنال: International Journal of Pediatric Otorhinolaryngology

سال: 1993

ISSN: 0165-5876

DOI: 10.1016/0165-5876(93)90146-t