Author/Editor		López, Fernando; Triantafyllou, Asterios; Snyderman, Carl H.; Hunt, Jennifer L.; Suárez, Carlos; Lund, Valerie J.; Strojan, Primož; Saba, Nabil F.; Nixon, Iain J.; Devaney, Kenneth O.; Alobid, Isam
Title		Nasal juvenile angiofibroma
Type		članek
Vol. and No.		Letnik 39, št. 5
Publication year		2017
Volume		str. 1033-1045
ISSN		1097-0347 - Head & neck
Language		eng
Abstract		Juvenile angiofibroma is an uncommon, benign, locally aggressive vascular tumor. It is found almost exclusively in young men. Common presenting symptoms include nasal obstruction and epistaxis. More advanced tumors may present with facial swelling and visual or neurological disturbances. The evaluation of patients with juvenile angiofibroma relies on diagnostic imaging. Preoperative biopsy is not recommended. The mainstay of treatment is resection combined with preoperative embolization. Endoscopic surgery is the approach of choice in early stages, whereas, in advanced stages, open or endoscopic approaches are feasible in expert hands. Postoperative radiotherapy (RT) or stereotactic radiosurgery seem valuable in long-term control of juvenile angiofibroma, particularly those that extend to anatomically critical areas unsuitable for complete resection. Chemotherapy and hormone therapy are ineffective. The purpose of the present review was to update current aspects of knowledge related to this rare and challenging disease.
Keywords		endoskopija embolizacija juvenilni nazofaringealni angiofibrom sinonazalni tumorji embolization endoscopy juvenile nasopharyngeal angiofibroma sinonasal tumors