Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7429
Peer-review started: September 24, 2021
First decision: December 2, 2021
Revised: December 11, 2021
Accepted: June 3, 2022
Article in press: June 3, 2022
Published online: July 26, 2022
Processing time: 289 Days and 18.4 Hours
Sporadic cases of extranasopharyngeal angiofibroma in children, especially preschool children, have been reported in the literature.
We present a case of extranasopharyngeal angiofibroma in a 4-year-old boy. The presenting symptoms, imaging findings, treatment, histological appearance, and follow-up data are described in detail. For this patient, we performed embolization on two occasions, and then, resected the tumor completely. During the treatment, the patient developed a soft-palate perforation due to aseptic necrosis. However, the healing ability was good, and the perforation healed spontaneously. We additionally reviewed all pediatric cases of extranasophary
Extranasopharyngeal angiofibromas can occur throughout childhood, and predominantly present with nasal obstruction and spontaneous rhinorrhagia.
Core Tip: Extranasopharyngeal angiofibromas can occur throughout childhood, but predominantly occur during adolescence. They present with similar symptoms. In our case, the clinical presentation was unusual due to the patient’s young age, the large tumor size, and the requirement of two embolization treatments. Soft palate perforation developed as a complication, but healed spontaneously during follow-up. Additionally, we performed a literature review to summarize the clinical characteristics of this rare tumor.