Juvenile Nasopharyngeal Angiofibroma Recurrence

Introduction: Juvenile nasopharyngeal angiofibroma corresponds to a rare neoplasm formation which, although histologically benign, presents an aggressive biological behavior, which predispose it to invasion of adjacent structures.

Resumed Report: This is an incident blastoma mainly in males, whose genesis remains unknown. Notably, its blood supply is connected to the external carotid artery, especially to the internal maxillary artery. Currently, imaging tests have become valuable tools for the diagnosis and staging of the disease. In regard to the treatment, surgical resection combined with previous embolization has become one of the most effective therapeutic options. In this report, a 13-year-old male patient is described, being affected by juvenile nasopharyngeal angiofibroma without intracranial invasion, diagnosed by his clinical and radiological display. At first, the surgical treatment without prior embolization therapy was chosen for the case. Five months later, the patient returned to medical care with a new recurrence, showing signs of headache associated with hemiparesthesia when the new embolization and surgical resection was chosen.

Conclusion: Juvenile nasopharyngeal angiofibroma is a rare head and neck tumor, with high chances of recurrence and should always be thought of as a differential diagnosis in epistaxis in children and adolescent males.