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Case Reports in Otolaryngology
Volume 2016, Article ID 3065657, 4 pages
http://dx.doi.org/10.1155/2016/3065657
Case Report

Angiofibroma Originating outside the Nasopharynx: A Management Dilemma

1Rhinology Section, Otorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar
2Otorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar
3Weill Cornell Medical College, Ar-Rayyan, Qatar

Received 6 July 2016; Revised 12 October 2016; Accepted 23 October 2016

Academic Editor: Holger Sudhoff

Copyright © 2016 Ashraf Nabeel Mahmood et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Angiofibroma is a benign tumor, consisting of fibrous tissue with varying degrees of vascularity, characterized by proliferation of stellate and spindle cells around the blood vessels. It most commonly arises from the nasopharynx, although it may rarely arise in extranasopharyngeal sites. Case Report. A 46-year-old male presented with left side nasal obstruction and epistaxis for one month. Clinical nasal examination revealed left sided polypoidal mass arising from the vestibular region of the lateral nasal wall. Results. CT scan and MRI showed highly vascular soft tissue mass occupying the anterior part of the left nostril. Preoperative selective embolization followed by transnasal excision was performed. Histopathological examination confirmed the diagnoses of nasal vestibular angiofibroma. Conclusion. Extranasopharyngeal angiofibroma is a very rare pathology. It should be kept in mind as a differential diagnosis with any unilateral nasal vestibular mass causing nasal obstruction and epistaxis. A biopsy without further investigation can cause life threatening bleeding in the patient.