What is angiofibrom?
angiofibrom is a benign tumor that grows in the nasal cavity. This type of tumor almost always develops in teenage boys and can be called angiofibroma of juvenile nosopharyngeal angiofibroma. These tumors are not cancer and rarely become cancer. Yet these benign tumors can grow very quickly and sometimes spread from the nasal cavity to other parts of the skull.
The most common symptoms of angiofibroma are the nasal overload, headache, nosebleedy, swelling of the face, problems with nose breathing and nose sounding speech. Children with angiofibromas could also develop a condition called otorrhea in which the liquid flows from one or both ears. The diagnosis of these nosopharyngal tumors is usually made based on medical imaging tests such as MRI, CT scanning and X -rays. The child can also undergo an arteriogram, which is a procedure that allows the doctor to display blood supply that feeds the tumor.
The basic cause of angiofibromes is unknown. BPOKUS These tumors develop almostOnly boys aged 7 to 19 years old, assumed that hormones could play a role in starting their growth. Genetic studies indicate the involvement of at least one gene known to play a role in the development of several types of malignant tumor.
There are three main types of treatment for juvenile nosopharyngeal angiofibroma: hormonal therapy, radiation therapy and surgery. Hormonal therapy includes the use of a drug called flutamide, which acts by blocking testosterone receptors. The activity of this drug is further evidence of the hormonal cause of the condition. Flutamide treatment can reduce tumors by more than 40 percent.
Another treatment option for these tumors is radiation therapy. Although it has been reported that radiation therapy has a level of treatment up to 90 percent, this treatment is not unusually used because its possible long -term side effects on fertility. Radiation therapy is generally used only in cases repeatingThe tumors or when the tumor spread from the nasal cavity to other parts of the skull.
Surgery may be essential when the tumor grows sufficiently large to block the airways or cause repeated nosebleeds. If surgery is required, the size and location of angiofibroma will dictate the type of surgery used in its removal. The entrance to the nasal passages where the tumor is located is often obtained by using the Weber-Ferguson cut, which is a long cut made parallel to one side of the nose.
Another surgical approach is an intranasal approach where the endoscope is used to ensure access to the tumor through the nasal passages without making any facial cuts. This endoscopic technique is becoming increasingly popular because it is much less invasive than other surgery and has fewer risks and complications. For example, the Incision Weber-Ferguson can temporary or permanent numbness of the face, a complication that completely avoids the use of intranasal endoscopy.