Case analysis reveals severe bleeding after biopsy in a young male with juvenile nasopharyngeal angiofibroma, highlighting the need for preoperative imaging and intervention.
Juvenile nasopharyngeal angiofibroma (JNA) is a benign but locally aggressive vascular tumor that affects young males. Biopsy of this highly vascularized lesion is inadvisable. This case illustrates a patient with JNA who underwent a biopsy, resulting in severe bleeding, highlighting the importance of differentiating JNA from more common conditions with similar symptoms. A multidisciplinary approach is essential, and endoscopic resection is the cornerstone of treatment, often involving preoperative MRI with angiography and embolisation to minimise blood loss and improve outcomes.
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Leite et al. (2025) studied this question.
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