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A rare case of extra-nasopharyngeal angiofibroma of the septum in a female child

Published online by Cambridge University Press:  16 November 2017

G B Singh*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Shukla
Affiliation:
Department of Pathology, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
P Kumari
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
I Shukla
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
*
Address for correspondence: Prof Gautam Bir Singh, House no.: 1433/Sector: 15, Faridabad 121007 (NCR), Haryana, India E-mail: gbsnit@yahoo.co.in

Abstract

Background:

Extra-nasopharyngeal angiofibroma is a rare but distinct clinical entity, different from juvenile angiofibroma.

Methods:

This clinical record elucidates the only case of extra-nasopharyngeal angiofibroma arising from the septum in a female child, who presented with epistaxis.

Results:

The histopathological diagnosis was confirmed by immunohistochemistry, and the case was managed surgically with no recurrence.

Conclusion:

In a female paediatric patient presenting with epistaxis, extra-nasopharyngeal angiofibroma (of the inferior turbinate) is a rare albeit important differential diagnosis, as it challenges the hormonal theory of angiofibroma aetiopathogenesis.

Type
Clinical Record
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Szymanska, A, Scymanska, M, Morshed, K, Czekajska-Chehab, E, Szczerbo-Trojanowska, M. Extranasopharyngeal angiofibroma: clinical and radiological presentation. Eur Arch Otolaryngol 2013;270:655–60Google Scholar
2 Windfuhr, JP, Remmert, S. Extranasopharyngeal angiofibroma: etiology, incidence and management. Acta Otolaryngol 2004;124:880–9CrossRefGoogle Scholar
3 Garcia-Rodriquez, L, Rudman, K, Cogbill, CH, Loehri, T, Poetker, DM. Nasal septal angiofibroma, a subclass of extranasopharyngeal angiofibroma. Am J Otolaryngol 2012;33:473–6CrossRefGoogle Scholar
4 Dogan, S, Yazici, H, Baygit, Y, Metin, M, Soy, FK. Extranasopharyngeal angiofibroma of the nasal septum: a rare clinical entity. J Craniofac Surg 2013;24:e3903 Google Scholar
5 Sandie, EW, Dayan, F, Fadzilah, FM, Gendeh, BS. Nasal septal angiofibroma in a post-menopausal woman: a rare entity. J Clin Diagn Res 2015;9:MD035 Google Scholar
6 Hiraide, F, Matsubara, H. Juvenile nasal angiofibroma: a case report. Arch Otorhinolaryngol 1984;239:235–41CrossRefGoogle ScholarPubMed
7 Sarpa, JR, Novelly, NJ. Extranasopharyngeal angiofibroma. Otolaryngol Head Neck Surg 1989;101:693–7CrossRefGoogle ScholarPubMed
8 Handa, KK, Kumar, A, Singh, MK, Chhabra, AH. Extranasopharyngeal fibroma arising from the nasal septum. Int J Pediatr Otorhinolaryngol 2001;58:163–6Google Scholar
9 Castillo, MP, Timmons, CF, McClay, JE. Autoamputation of an extranasopharyngeal angiofibroma of the nasal septum. Int J Pediatr Otorhinolaryngol Extra 2006;1:267–70CrossRefGoogle Scholar
10 Singh, GB, Aggarwal, S, Arora, R, Doloi, P, Kumar, D. A rare case of angiofibroma arising from inferior turbinate in a female. J Clin Diagn Res 2016;10:MD078 Google Scholar
11 Akbas, Y, Anadolu, Y. Extranasopharyngeal angiofibroma of the head and neck in women. Am J Otolaryngol 2003;24:413–16CrossRefGoogle ScholarPubMed
12 Peric, A, Sotirovic, J, Cerovic, S, Zivic, L. Immunohistochemistry in diagnosis of extranasopharyngeal angiofibroma originating from nasal cavity: case presentation and review of literature. Acta Medica 2013;56:133–41Google Scholar
13 Yokoi, H, Arakawa, A, Kuribayashi, K, Inoshita, A, Haruyama, T, Ikeda, K. An immunohistochemical study of sinonasal hemangiopericytoma. Auris Nasus Larynx 2011;38:743–6CrossRefGoogle ScholarPubMed
14 Brunner, H. Nasopharyngeal fibroma. Ann Otol 1942;51:3065 Google Scholar