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종결 Case No. 180 0000-00-00~0000-00-00
출제자 : 관리자 Hit : 288
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Period 0000-00-00~0000-00-00
Diagnosis
Clinical information 15세 남자. Nasal obstruction으로 내원.
Discussion Angiofibroma

A relatively uncommon, histologically benign, locally invasive tumor that usually occurs in adolescent boys
Patients usually present with nasal obstruction, recurrent and severe epistaxis
Approximately 0.5% of all neoplasms of the head and neck
Two constant features
(a) A mass in the posterior nasal cavity and pterygopalatine fossa
(b) The erosion of bone posterior to the sphenopalatine foramen and extending to the upper medial pterygoid plate

Characteristics of angiofibroma on CT and MR images
: Anterior bowing of the posterior wall of the maxillary antrum
: Enlargement of the pterygopalatine fossa with bone erosion posterior to the sphenopalatine foramen, extending toward the medial pterygoid plate
: Intense enhancement on contrast-enhanced images
: Blood supply by the ipsilateral internal maxillary artery
: Small ascending pharyngeal artery branches.


RadioGraphics 2008; 28:205?23
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