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</div><div><span>Juvenile angiofibroma</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Juvenile angiofibroma</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Juvenile angiofibroma is a noncancerous growth that causes bleeding in the nose and sinuses. It is most often seen in boys and young adult men.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Juvenile angiofibroma is not very common. It is most often found in adolescent boys. The <a test="test" href="./001310.htm">tumor</a> contains many blood vessels and spreads within the area in which it started (locally <a test="test" href="./002384.htm">invasive</a>). This can cause bone damage.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms include:</p><ul><li><a test="test" href="./003075.htm">Difficulty breathing</a> through the nose</li><li>Easy bruising</li><li>Frequent or repeated nosebleeds</li><li>Headache</li><li>Swelling of the cheek</li><li><a test="test" href="./003044.htm">Hearing loss</a></li><li><a test="test" href="./003051.htm">Nasal discharge</a>, usually bloody</li><li>Prolonged <a test="test" href="./000045.htm">bleeding</a></li><li>Stuffy nose </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>The health care provider may see the angiofibroma when examining the upper throat.</p><p>Tests that may be done include:</p><ul><li><a test="test" href="./003327.htm">Arteriogram</a> to see the blood supply to the growth</li><li><a test="test" href="./003786.htm">CT scan of the sinuses</a></li><li>MRI scan of the head</li><li><a test="test" href="./003337.htm">X-ray</a></li></ul><p>Biopsy is generally not recommended due to the high risk of bleeding.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>You will need treatment if the angiofibroma is growing larger, blocking the airways, or causing repeated nosebleeds. In some cases, no treatment is needed.</p><p>Surgery may be needed to remove the tumor. The tumor may be hard to remove if it is not enclosed and has spread to other areas. Newer surgery techniques that place a camera up through the nose have made tumor removal surgery less invasive.</p><p>A procedure called embolization may be done to prevent the tumor from bleeding. The procedure may correct the nosebleeds by itself, but it is most often followed by surgery to remove the tumor.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Although not cancerous, angiofibromas may continue to grow and damage nearby tissue or bleed. Some may disappear on their own.</p><p>It is common for the tumor to return after surgery.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Complications may include:</p><ul><li><a test="test" href="./000560.htm">Anemia</a></li><li>Pressure on the brain (rare)</li><li>Spread of the tumor to the nose, sinuses, and other structures</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Contact your provider if you often have:</p><ul><li>Nosebleeds</li><li>One-sided nasal blockage</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>There is no known way to prevent this condition.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Nasal tumor; Angiofibroma - juvenile; Benign nasal tumor; Juvenile nasal angiofibroma; JNA</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2367t.jpg" alt="Tuberous sclerosis, angiofibromas - face" title="Tuberous sclerosis, angiofibromas - face" class="side-img"/><a href="../imagepages/2367.htm">Tuberous sclerosis, angiofibromas - face</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Chu WCW, Epelman M, Lee EY. Neoplasia. In: Coley BD, ed. <em>Caffey's Pediatric Diagnostic Imaging.</em> 13th ed. Philadelphia, PA: Elsevier; 2019:chap 55.</p><p>Fletcher CDM. Tumors of soft tissue. In: Fletcher CDM, ed. <em>Diagnostic Histopathology of Tumors</em>. 5th ed. Philadelphia, PA: Elsevier; 2021:chap 24.</p><p>Haddad J, Dodhia SN. Acquired disorders of the nose. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics.</em> 21st ed. Philadelphia, PA: Elsevier; 2020:chap 405. </p><p>Nicolai P, Mattavelli D, Castelnuovo P. Benign tumors of the sinonasal tract. In: Flint PW, Francis HW, Haughey BH, et al, eds. <em>Cummings Otolaryngology: Head and Neck Surgery.</em> 7th ed. Philadelphia, PA: Elsevier; 2021:chap 50.</p><p>Snyderman CH, Pant H, Gardner PA. Juvenile angiofibroma. In: Meyers EN, Snyderman CH, eds. <em>Operative Otolaryngology: Head and Neck Surgery.</em> 3rd ed. Philadelphia, PA: Elsevier; 2018:chap 122.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 9/10/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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