Involution of residual juvenile nasopharyngeal angiofibroma

Abstract

The apparent tendency of juvenile nasopharyngeal angiofibroma to involute with age has been known for many years but firm evidence of this has been lacking. This case report uses computerized tomography to provide the first documented evidence of this involution.

Juvenile nasopharyngeal angiofibromas in Denmark 1981–2003: diagnosis, incidence, and treatment

“…Stansbie et al [22] and other authors [23Á25] have demonstrated spontaneous involution of JNA in both treated and untreated lesions by serial CT scans. During the 23 years observation period of this study, the highest age at recurrence was 29 years, supporting the notion that the tumor eventually burns out by itself.…”

Juvenile Angiofibromas: A 40-Year Surgical Experience

“…In the event of intracranial recurrence or residual disease, no fixed or standard approach to these patients is rec ommended because treatment must be tai lored to each individual case. It has been well documented in the literature that all recurrences are not life-threatening and many patients have been followed expec tantly without significant complications or morbidity [3,4,9,10,12,17], All recurrences in this series occurred with stage I and II disease probably due to inadequate surgical removal. All recurrences were treated surgically.…”

Clinico-radiological evaluation of Juvenile Nasopharyngeal Angiofibromas: two case reports

“…Treatment involves surgery, irradiation or hormonal therapy depending upon the staging and involvement. Spontaneous regression [9,10] has been noticed in individuals who are > 20 years old. Surgical management [11,12] is the primary treatment which is required in most of the cases.…”