Nasopharyngeal Angiofibroma(Juvenile Nasopharyngeal Angiofibroma)


A juvenile nasopharyngeal angiofibroma (JNA) is a noncancerous tumor made up of blood vessels that grow at the posterior aspect of the nose. Typically, these tumors occur in teenage boys. They often grow quickly during puberty, then slow down or stop growing entirely after adolescence.


JNAs typically present with nasal obstruction and epistaxis (nosebleeds). They can also cause nasal discharge and sinusitis.

More extensive tumors may grow into the paranasal sinuses, orbits or even the brain. In these cases, symptoms may include headaches or changes in vision.


An otolaryngologist typically diagnoses a mass in the posterior aspect of the nose using nasal endoscopy. Your otolaryngologist may order a MRI or CT scan to assess the extent of the tumor and to look for the classical radiological findings of JNA. Biopsies of these tumors often cause significant bleeding (as they are made up primarily of blood vessels); for this reason, surgery is often suggested based on the radiological findings without biopsy.

Treatment Options

Surgery is often used to remove the tumor. Before the surgery, your surgical team may recommend embolization – a procedure to block the blood vessels that feed the tumor to reduce bleeding during removal.

Nasopharyngeal angiofibroma treatment may include:

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