El Angiofibroma nasofaríngeo juvenil es un tumor benigno vascular (pero que tardíamente Se localiza en la pared posterolateral de la grita nasal a nivel del vínculo de la apófisis esfenoidal del hueso palatino. Esta localización conforma el. Nasal cavity, paranasal sinuses, nasopharynx – Nasopharyngeal angiofibroma. Juvenile nasopharyngeal angiofibroma (JNA) is a rare and benign but locally in the nasopharynx and nasal cavity, leading to manifestations such as nasal.
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According to the adopted categorization scheme, these patients would correspond to grade IIIb of the Andrews classification. Numerous mast cells were noted with a minimal inflammatory cell infiltrate. Arteriography followed by preoperative embolization and surgical resection is the treatment of choice. Diagnosis is arrived at by clinical examination, radiography, nasal endoscopy juvneil specialized imaging techniques such as CT scan and MRI.
Nasal cavity Esthesioneuroblastoma Nasopharynx Nasopharyngeal carcinoma Nasopharyngeal angiofibroma Larynx Laryngeal cancer Laryngeal papillomatosis. However, as in any invasive procedure, embolization presents risks that should be fully explained to the patients Abstract Juvenile nasopharyngeal angiofibroma JNA is a rare benign tumor arising predominantly in the nasopharynx of adolescent males.
All patients were treated surgically, including 17 who underwent endoscopic surgery. The endoscope has proved itself to be an important tool for visualizing the entire extent of these tumors, particularly in the region of the superior orbital fissure, cavernous sinus, and even in masal pterygopalatine fossa, where the presence of residual lesions is not unusual after resection of tumors as extensive as those described in the present study.
National Center for Biotechnology InformationU. Direct intratumoral embolization of juvenile angiofibroma. However, these tumors are highly vascularized and grow rapidly.
Androgen receptor, juvenile angiofiborma, nasopharyngeal angiofibroma. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Molecular pathogenesis of juvenile nasopharyngeal angiofibroma in Brazilian patients. Thirteen patients met the criteria for inclusion and underwent surgical treatment.
Juvenile nasopharyngeal angiofibroma
Supply of these tumours is usually via Operative treatment of nasopharyngeal angiofibroma with intracranial extension is one of the major challenges of ENT and neurosurgical practice. Juvenile nasopharyngeal angiofibroma originates in the sphenopalatine forame, causing epistaxes and nasal obstruction.
Same as Ia, but with extension into one or more paranasal sinuses. Check for errors and try again. The prevalence in males may be explained by high androgen receptor AR expression suggesting nuvenil JNA is androgen dependent.
Thirteen patients underwent surgery. Health care resources for this disease Expert centres Diagnostic tests 1 Patient organisations 24 Orphan drug s 1. Bony erosion of the nasal cavity, hard palate and pterygoid plates is also common.
MRI is superior to CT for detecting soft tissue extension of the tumor intracranially. Endoscopic surgery alone or with other conventional techniques was safe for the treatment of angiofibromas of different stages. Juvenile nasopharyngeal angiofibroma JNA is a benign neoplasm of the nasopharynx. Page views in Overlying mucosa appeared normal. Angiography, although not essential, is often useful in both defining the feeding vessels as well as in preoperative embolisation.
Angiofibroma nasofaríngeo juvenil – Wikipedia, la enciclopedia libre
Disease definition Juvenile nasopharyngeal angiofibroma JNA is a rare and benign but locally aggressive fibrovascular tumor arising from the posterolateral wall of the nasopharynx, which affects mainly young and adolescent males onset usually occurring between years of age and that presents as a mass in the muvenil and nasal cavity, leading to manifestations such as nasal obstruction, epistaxis, profound facial swelling, proptosis or diplopia.
Endoscopic Ressection of Juvenile Angiofibroma: For treatment of small lesions, external surgical approaches are gradually being replaced by endoscopic surgery, which can also be combined with conventional approaches in cases of more advanced disease.
JNA is an uncommon, highly vascular, locally invasive, unencapsulated tumor with a distinct predilection for an origin in the nasopharynx of adolescent males.
Additional information Further information on this disease Classification s 2 Gene s 0 Other website s 3. Therefore, all cases corresponded to Antiofibroma grade IV Table 4.
Pathology Outlines – Nasopharyngeal angiofibroma
Jivenil Oral Maxillofac Pathol. Non-surgical treatments are available, including the use of hormones estrogen, testosteroneradiation therapy, chemotherapy, and recently, embolization; however, surgery is considered the treatment of choice, with the route depending on the stage of the tumor and the overall condition of the patient 11,12, Histopathological examination revealed a proliferative connective tissue stroma interspersed with a thick vascular network.
Long-term tumor recurrence has been reported due to incomplete initial resection. This article has been cited by other articles in PMC. Patients requiring craniotomy for neurosurgical access were excluded from the sample, since the findings associated with this route fell outside the scope of the present study. JNA classically presents as a painless, progressive unilateral nasal obstruction.
Craniotomy was not performed in any of the patients. Finally, numerous inflammatory cells such as mast cells and T-lymphocytes are seen. Other search option s Alphabetical list. Patients undergoing embolization require external carotid clamping due to collateral circulation, which can increase bleeding.
Am J Clin Oncol. They develop at a slightly older age and occur more commonly in women. JNA is classified as Type I when the nasl is restricted to the nasal cavity and the nasopharynx without bone destruction, Type II when the tumor invades the pterygomaxillary fossa and maxillary, sphenoidal and ethmoid sinuses with bone destruction, Type III when the tumor invades the nassl fossa, the orbit, and the parasellar region but remains lateral to the cavernous sinus and Type IV when the tumor invades the cavernous sinus, the optic chiasma and the pituitary fossa.
Endoscopic approach for excision of juvenile nasopharyngeal angiofibroma: