Nasal angiomyolipoma (AML) mimicking juvenile nasopharyngeal angiofibroma

Saiful Azhar Ameen, Salina Husain, Farah Dayana Zahedi, Sabir Husin Athar Primuharsa-Putra, Noraidah Masir

Research output: Contribution to journalArticle

Abstract

Introduction: Angiomyolipoma (AML), a benign mesenchymal tumor that commonly arises from the kidney, may be associated with tuberous sclerosis complex and perivascular epithelioid cell tumors (PEComas). Nasal angiomyolipoma is very rare and usually occurs in elderly individuals with epistaxis and nasal obstruction. Case Report: We report a rare case of nasal angiomyolipoma in a young male. To the best of our knowledge, this is the first documented case of angiomyolipoma originating from the posterior end of the inferior turbinate, clinically mimicking juvenile nasopharyngeal angiofibroma (JNA). The tumor was removed completely via coblator-assisted endoscopic sinus surgery. The patient was asymptomatic at a 2-year follow-up. Conclusion: Nasal AML located in the posterior nasal cavity in a male patient can mimic the presentation of JNA. A computed tomography scan of the paranasal sinuses played an important role in differentiating nasal AML from JNA. The coblator-assisted endoscopic technique is useful in controlling intraoperative hemostasis in the removal of a suspicious vascular tumor.

Original languageEnglish
Pages (from-to)191-195
Number of pages5
JournalIranian Journal of Otorhinolaryngology
Volume31
Issue number3
Publication statusPublished - 1 Jan 2019

Fingerprint

Angiofibroma
Angiomyolipoma
Nose
Perivascular Epithelioid Cell Neoplasms
Turbinates
Neoplasms
Nasal Obstruction
Epistaxis
Tuberous Sclerosis
Paranasal Sinuses
Nasal Cavity
Hemostasis
Blood Vessels
Tomography
Kidney

Keywords

  • Endoscopic sinus surgery
  • Epistaxis
  • Juvenile nasopharyngeal angiofibroma
  • Nasal angiomyolipoma
  • Perivascular epithelioid cell tumor (PEComa)

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Nasal angiomyolipoma (AML) mimicking juvenile nasopharyngeal angiofibroma. / Ameen, Saiful Azhar; Husain, Salina; Zahedi, Farah Dayana; Primuharsa-Putra, Sabir Husin Athar; Masir, Noraidah.

In: Iranian Journal of Otorhinolaryngology, Vol. 31, No. 3, 01.01.2019, p. 191-195.

Research output: Contribution to journalArticle

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