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November 1956


Author Affiliations

Roswell Park Memorial Institute; Associate Chief Cancer Research Head and Neck Surgeon (Dr. Marchetta); Associate Cancer Research Head and Neck Surgeons (Drs. Maxwell, Riegler, and von Schowingen).

AMA Arch Surg. 1956;73(5):885-890. doi:10.1001/archsurg.1956.01280050153028

JUVENILE nasopharyngeal fibromas are rare lesions, histologically benign, but in some instances they produce clinical manifestations which justify radical surgical excision. Some, because of their small size, lack disturbing symptoms and pass into the "fibrotic burnt out" postadolescent stage almost unnoticed. At the other extreme are cases in which the tumor continues to grow and results in deformity in a young person. In this latter group are lesions which produce recurrent episodes of severe epistaxis and sepsis and fail to respond to conventional forms of radiological, hormonal, and surgical therapy.

The infrequent occurrence of this lesion is self-evident when one reviews the literature. The largest series is that of Figi and Davis, who reported 114 cases from the Mayo Clinic in 1950. Martin and coworkers reported 29 cases from the files of the Memorial Hospital, where some 2000 head and neck neoplasms are seen yearly, and, of these, 2 per

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