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March 1965

Juvenile Nasopharyngeal Angiofibroma

Author Affiliations

From the Department of Otolaryngology at Mc-Pherson Hospital and Duke University Medical Center.

Arch Otolaryngol. 1965;81(3):270-277. doi:10.1001/archotol.1965.00750050279018

JUVENILE nasopharyngeal angiofibroma is an uncommon tumor found in the nasopharynx of the adolescent male. It is a highly vascular, locally invasive, nonencapsulated lesion which begins in the pubescent period and causes varying symptoms during the adolescent years. After the attainment of sexual maturity—about 18 to 25 years of age—the tumor is said to undergo varying degrees of spontaneous regression. Some observers base their treatment on this tendency, while others categorically disagree with this belief. Figi and Davis1 stated that "they have never observed the complete spontaneous disappearance of these fibromas." Pressman2 stated that neither he nor those specialists in the field whom he contacted knew of a single case of angiofibroma, which produced serious hemorrhage and was left unremoved, that disappeared upon the patient's reaching adult life. Neither did the symptoms diminish so that treatment was unnecessary.

This is a report of nine cases of angiofibroma of