Velasco-Barona CF, Moragrega-Adame E, Suárez-Tatá M, Rodríguez-Reyes A

Language: Spanish
References: 10
Page: 323-326
PDF size: 356.54 Kb.

ABSTRACT

A 12-year-old male with a six months history of recurrent epistaxis, epiphora, left proptosis and dyspnea is presented. Ophthalmic examination revealed: visual acuity 20/20, normal ocular movements in both eyes and exophthalmometry: 17/21. Anterior and posterior segments presented no alterations during the exploration. IOP: OD=10 mmHg, OS=11mmHg. The patient was referred to the Echography Service for evaluation. A bilateral B screening exploration was performed appreciating a heterogeneous mass coming from the middle line and extending into both orbits. In the left orbit the lesion had a superior, nasal and inferior location and in the right orbit the lesion was only nasal and inferior. The anterior border of the lesion was irregular, well defined, with heterogeneous density and evidence of bone erosion. Standardized A scan screening revealed a very low reflectivity lesion with irregular internal structure and no vascularity. The patient underwent an incision biopsy and the final histopathological diagnosis was nasopharyngeal angiofibroma. Clinical and echographical features are discussed.

REFERENCES

1. Schick B, Rippel C, Brunner C, Jung V, Plinkert PK, Urbschat S. Numerical sex chromosome aberrations in juvenile angiofibromas: genetic evidence for an androgen-dependent tumor? Oncol Rep, 2003; 10:1251-1252.

2. Mann WJ, Jecker P, Amedee RG. Juvenile angiofibromas: changing surgical concept over the last 20 years. Laryngoscope, 2004; 114:291-293.

3. Patrocinio JA, Patrocinio LG, Martins LP, da Cunha AR. Vision recovery following nasopharyngeal angiofibroma excision. Auris Nasus Larynx, 2002; 29:309-311.

4. Sennes LU, Butugan O, Sanchez TG, Bento RF, Tsuji DH. Juveline nasopharyngeal angiofibroma: the routes of invasion. Rhinology, 2003; 41:435-240.

5. Ganesh A, Dondey J, Forte V, Drake JM, Gentili F, Armstrong D, Phillips J, Buncic JR. Orbital involvement by nasopharyngeal angiofibroma. J Pediatr Ophthalmol Strabismus, 2004; 41:116-121.

6. Ki Sang, Sang Nae Byum y cols. Bilateral juvenile nasopharyngeal angiofibroma. Otolaryngology Head and Neck Surgery, 128(6):891-893.

7. Salcone EM, Pepin SM. Intermittent esotropia as the initial presentation of juvenile nasopharyngeal angiofibroma. J AAPOS, 2004; 8:201-203.

8. Antoniades K, Antoniades DZ, Antoniades V. Juvenile angiofibroma: report of a case with intraoral presentation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2002; 94:648.

9. Yadav SP, Singh I, Chanda R, Sachdeva OP. Nasopharyngeal angiofibroma. J Otolaryngol, 2002; 31:346-350.

10. Liu L, Wang R, Huang D, Han D, Yang W. Multiple factors analysis of intraoperative bleeding and recurrence of Juveline nasopharyngeal angiofibromas. Zhonghua Er Bi Yan Hou Ke Za Zhi, 2001; 36:220-223.