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230JNA is a rare vascular tumor that accounts for 0.05% to 0.5% of all head and neck neoplasms; however, it is the most common tumor of the nasopharynx in young males 1 . The etiology of JNA remains unknown; however, the association with androgen receptors, chromosomal alterations and growth factors has been described 2-4 .The term angiofibroma was first used by Friedberg in 1940. The name indicates fibrous and vascular components, which of these is the origin, is a matter of debate 5 . CT and MRI imaging could achieve the diagnosis.The aim of this presentation is to report a case of Juvenile Nasopharyngeal Angiofibroma, which was managed by superselective embolization prior to endoscopic surgical resection. THE CASEA sixteen-year-old male presented with a one-month complaint of unilateral nasal blockage and frequent epistaxis. No other physical or laboratory abnormality detected. Plain paranasalsinuses and CT revealed left-sided posterior nasal polypoidal mucosal thickening occluding the left choanae and extending posteriorly through nasopharyngeal cavity and widening of left sphenopalatine foramen with bowing of posterior maxillary wall "Holman-Miller sign". Appreciable infiltration of the medial wall of the base of pterygoid plates was found, see figure 1.Enhanced MRI revealed a posterior nasopharyngeal mass measuring 3.2 cm x 2.2 cm, appearing iso intense on T1 weighed images and of heterogeneous intensity at T2WI with subtle hyperintense foci, and thin flow voids visible on T2 weighed images, see figure 1.Juvenile nasopharyngeal angiofibroma (JNA) is a benign highly vascular tumor. It almost exclusively affects male adolescents and young adults. Nasal blockage and recurrent epistaxis are the classic symptoms. Cross-sectional imaging is vital for accurate diagnosis and operative planning. Pre-operative embolization is frequently performed to decrease blood loss and has especially facilitated endoscopic resection.A sixteen-year-old male presented with one-month complaint of unilateral nasal blockage and frequent epistaxis. Angiofibroma was diagnosed by CT and MRI. Angiography followed by embolization was performed 24 hours prior to endoscopic surgical resection. The reported blood loss was less than 50 ml. No complications were encountered.

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Dermatofibrosarcoma protuberans (DFSP) is an uncommon neoplasm of the skin and soft tissue, commonly appearing on the trunk and extremities. The occurrence of DFSP in the breast is extremely rare. It has low to intermediate malignant potential with a high rate of local recurrence and invasion. We present a case of a 28-year- old female with a skin lesion on the breast associated with an underlying breast lump. We aim to discuss the sonographic and magnetic resonance findings of breast dermatofibrosarcoma.