Lamadrid BE, Guerrero ED, González RT, Azuara PE, Hernández OF

Language: Spanish
References: 35
Page: 79-86
PDF size: 410.74 Kb.

ABSTRACT

Background Juvenile nasopharyngeal angiofibroma is a tumor composed of a fibrous stroma and irregular blood vessels without middle muscular layer, which bleed easily. It represents 0.05% of head and neck tumors and it is more common in young men. The juvenile nasopharyngeal angiofibroma exhibit slow growth and are clinically manifested by the invasion of adjacent structures. Surgery remains the first choice treatment. Recurrence reflects an incomplete initial resection.
Objective To document the incidence of juvenile nasopharyngeal angiofibroma at Hospital General de Mexico from 2008 to 2010.
Material and method A case series, retrospective, cross-sectional, descriptive and observational study. We conducted a review of medical records and data collection. The results were reported as descriptive statistics.
Results Thirty-one cases were diagnosed with juvenile nasopharyngeal angiofibroma. Patient demographics, symptoms, physical characteristics of the tumor, the results of imaging studies and angiography, treatment and surgical approach were reported in each case, as well as type of anesthesia used in each patient and postoperative bleeding.
Conclusions Juvenile nasopharyngeal angiofibroma is a high incidence benign tumor in Mexico, occurring mostly in young male patients. Symptoms and tumor characteristics are varied. Image studies for staging and diagnostic-therapeutic arteriography are needed. The treatment of choice is surgery.

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