Stubbs Vanessa C, Miller Lauren E, Parasher Arjun K, Glicksman Jordan T, Adappa Nithin D, Palmer James
Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Clin Med Insights Case Rep. 2019 Apr 23;12:1179547619841062. doi: 10.1177/1179547619841062. eCollection 2019.
Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted.
We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pathology. We also present a review of the available NA staging systems.
In this case of NA, imaging revealed an aggressive, hypervascular mass in the nasal cavity with involvement of the middle cranial fossa and cavernous sinus. The patient underwent complete endoscopic surgical resection following vascular embolization.
Although it is rare, NA should not be disregarded in the elderly population.
鼻咽血管纤维瘤（NA）典型地好发于青春期男性。尽管这些肿瘤是良性的，但可导致局部破坏，因此有必要进行手术切除。
我们报告一例62岁男性患者，有鼻塞和鼻出血症状，病理检查发现为右侧鼻咽血管纤维瘤。我们还对现有的鼻咽血管纤维瘤分期系统进行了综述。
在该鼻咽血管纤维瘤病例中，影像学检查显示鼻腔内有一个侵袭性、高血运肿块，累及中颅窝和海绵窦。患者在血管栓塞后接受了完整的内镜手术切除。
尽管罕见，但在老年人群中不应忽视鼻咽血管纤维瘤。
