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Juvenile Angiofibromas


Udayan K. Shah

, MD, Sidney Kimmel Medical College at Thomas Jefferson University

Last full review/revision Sep 2020| Content last modified Sep 2020
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A Look Inside the Throat

A Look Inside the Nose and Throat

Juvenile angiofibroma occurs most commonly among adolescent boys. The tumor contains many blood vessels. It can grow slowly, spreading into the area around the brain and into the orbits of the eye.

Typically, the tumor causes a stuffy nose or headache, often with nosebleeds Nosebleeds Some people get nosebleeds rather often, and others rarely get them. There may be just a trickle of blood or a strong stream. If people swallow the blood, they often vomit it because blood is... read more , which are sometimes very severe. The face may swell, or an eye may bulge. A mass may protrude from the nose, or the nose may become disfigured. If the tumor grows slowly, people may have few symptoms.

Diagnosis of Juvenile Angiofibromas

  • Computed tomography and magnetic resonance imaging

  • Often angiography

Doctors suspect the diagnosis of juvenile angiofibroma based on symptoms.

Another imaging test called angiography Angiography In angiography, x-rays are used to produce detailed images of blood vessels. It is sometimes called conventional angiography to distinguish it from computed tomography (CT) angiography and magnetic... read more (x-rays of blood vessels taken after a dye is injected in the veins to outline them) is often done so that the tumor's blood vessels can be blocked (embolization) before surgery, which reduces bleeding.

A partial biopsy of the tumor may be done but is usually avoided because it can result in severe bleeding.

Treatment of Juvenile Angiofibromas

  • Surgical removal and sometimes radiation therapy

Usually, the tumor is surgically removed.

Occasionally, radiation therapy is also used, especially if complete removal of the tumor is difficult or impossible or if the tumor reappears.

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