Abstract Background Angiofibroma is a rare, histologically benign but locally aggressive vascular tumour that typically arises within the nasopharynx. in sites other than nasopharynx extremely uncommon. Despite histological similarities, clinical features of this are very much different from typical nasopharyngeal angiofibroma and pose diagnostic challenge, hence emphasizing importance thorough...

A 16-year-old male presented with a massive nasopharyngeal angiofibroma arising in the nasopharynx, nasal cavity, pterygopalatine fossa, and infratemporal fossa, and eroding the pterygoid process of the sphenoid bone. Neuroimaging showed the tumor had infiltrated the parasellar region from the middle cranial fossa and reached the cavernous sinus. The tumor was almost completely removed macrosco...