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Nasal Angiofibroma (Cut Surface)
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Nasal Angiofibroma (Cut Surface)

This is a view of the interior of an angiofibroma.
The surface is quite smooth, tan and firm.
A single focus of cystic degeneration is seen with a smooth lining.
The right side, representing the portion of the lesion which was closest to the nares, is discolored black.
This probably represents focal hemorrhage.
(Description By:Melinda Sanders, M.D. )
(Image Contrib. by: UCHC )
Angiofibroma
Etiology

Unknown
Increases in size under the influence of testosterone
Pathogenesis

Unknown,
Epidemiology

Predilection for teenage boys (peak incidence at age 15)
Rarely ever seen in girls, if at all
General Gross Description

Firm, fibrous masses
Well circumscribed
General Microscopic Description

Numerous vascular spaces embedded in stroma which is collagenized
Spaces generally lined by single layer of endothelium
Clinical Correlation

Present with nasal obstruction and bleeding, as arise from lateral nasopharynx
May bleed profusely with surgery, which is treatment of choice
May need chemotherapy if surgery cannot remove intracranial extension
References

Sternberg SS ed. Diagnostic Surgical Pathology, 2d edition, Lippincott-Raven; Philadelphia. 1996, pp. 874-5.
Angiofibroma
Synopsis by: Melinda Sanders M.D. (T21000M91600)[434]
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