Juvenile angiofibroma: a review of the literature and a case series report.

摘要: Juvenile angiofibroma is a rare, histologically benign tumor which occurs almost exclusively in adolescent boys. The morbidity and mortality associated with this are related to its prominent vascularity propensity for aggressive local growth. From 1974 through 1988, 21 male patients diagnosis of juvenile were managed at the Toronto General Hospital or Sick Children, Toronto. Preoperative computed tomography was performed on 20 patients, selective angiography preoperative embolization 15 patients. Primary surgery 67% these radiation therapy used advanced stage II III disease response patient preference. Pterygopalatine fossa involvement demonstrated 90% patients; as result, lateral rhinotomy approach most commonly surgical cases. A successful outcome achieved 86% treated alone. Two underwent radiotherapy salvage following postoperative recurrence. There no treatment'related deaths major complications. The value discussed, authors' treatment protocol outlined, case series results presented.