EURORAD ESR

Case 1476

Juvenile Nasopharyngeal Angiofibroma

Author(s)
T.R. Hendriksz, R. Van den Berg
 
Patient
male, 11 year(s)
 
 
  • Figure 1
    CT scan of the maxillary sinuses

    bone window setting shows a soft tissue mass occupying the nasopharyngeal space, the posterior right nasal cavity, right sphenoid sinus and right pterygopalatine fossa. Destruction and erosion of the surrounding bony...

     
    Area of Interest: unknown; Imaging Technique: CT scan of the maxillary sinuses;
     
     
  • Figure 2
    Gd-enhanced coronal SE T1-weighted MR image

    demonstrates inhomogeneous enhancement of the tumor, extending into the right sphenoid sinus and right sphenopalatine foramen.

     
    Area of Interest: unknown; Imaging Technique: Gd-enhanced coronal SE T1-weighted MR image;
     
     
  • Figure 3
    Selective arteriography of the right internal maxillary artery

    lateral view, capillary phase (orientation is less obvious as the bony structures have been completely subtracted out) displays the reticular configuration of the small tumor vessels and intense, homogeneous blush.

     
    Area of Interest: unknown; Imaging Technique: Selective arteriography of the right internal maxillary artery;
     
     
bone window setting shows a soft tissue mass occupying the nasopharyngeal space, the posterior right nasal cavity, right sphenoid sinus and right pterygopalatine fossa. Destruction and erosion of the surrounding bony structures and invasion of the medial wall of the right maxillary sinus is seen.
 
demonstrates inhomogeneous enhancement of the tumor, extending into the right sphenoid sinus and right sphenopalatine foramen.
 
lateral view, capillary phase (orientation is less obvious as the bony structures have been completely subtracted out) displays the reticular configuration of the small tumor vessels and intense, homogeneous blush.
 
 
 
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