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Complete resolution of stage IIIB juvenile nasopharyngeal angiofibroma with radiation therapy.

Abstract
Juvenile nasopharyngeal angiofibroma is a benign, locally aggressive, vascular tumour of adolescent males. Extension to intracranial cavity is not uncommon and presents difficulties in management. Here we report a patient who had Radkowsky stage IIIB lesion, with blood supply from internal carotid artery. In view of anticipated problems with surgery, the patient was treated with 30 Gy in 15# external beam radiotherapy. On follow up, tumour was noted to disappear gradually overtime and at 3 years complete disappearance was noted with normal return of vision. Hence we are re-affirming the earlier studies than angiofibroma mass regresses gradually after completion of radiotherapy. Radiotherapy is a useful way of treating angiofibroma with significant intracranial extension.
AuthorsN B Shunyu, A Thakar, V Gupta
JournalIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India (Indian J Otolaryngol Head Neck Surg) Vol. 60 Issue 3 Pg. 238-41 (Sep 2008) ISSN: 2231-3796 [Print] India
PMID23120551 (Publication Type: Journal Article)

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