Clinical Presentation, Diagnostic Challenges, and Management Strategies for Asymptomatic Advanced Stage 4B Juvenile Nasal Angiofibroma: A Rare Pediatric Case Report and Literature Review.

ABSTRACT:

Background

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, highly vascular benign tumor primarily affecting adolescent males. It accounts for 0.05%-0.5% of head and neck tumors and is typically diagnosed in its early stages due to symptoms such as recurrent epistaxis and nasal obstruction. However, atypical presentations with minimal bleeding can delay the diagnosis, leading to advanced tumor progression. Surgical management of advanced-stage JNA is challenging due to its aggressive local invasion, high vascularity, and potential for intracranial extension.

Case presentation and management

We report the case of an 11-year-old male who presented with progressive right nasal obstruction, headaches, and only a few episodes of mild epistaxis (3-4 times per year) over three

SUBMITTER: Haq IU 

PROVIDER: S-EPMC12747053 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature