title: [Giant juvenile angiofibroma: which surgical approach?].
abstract: The juvenile angiofibroma is an uncommon, highly vascular, locally invasive, non encapsulated tumor. In spite of its benignity the above mentioned peculiarities make the therapy very hard. The estrogenic hormones and the radiotherapy were used for years but there were many iatrogenic after-effects. The preferred treatment is surgical. Many surgical approaches were used. Everyone has advantages and disadvantages. The choice may be free for tumors of small or medium size. When the tumor is very large, stage III A or more, a single approach isn't enough. A double approach is mandatory; one must be an infratemporal approach (pre o postauricular). We present a case of juvenile angiofibroma stage III B which is a good pattern of the above mentioned statements.
authors.affiliation: Instituto Nazionale per lo Studio e la Cura dei Tumori di Milano.
authors.forename: G
authors.initials: G
authors.lastname: Cantù
authors.forename: M I
authors.initials: MI
authors.lastname: Grosso
authors.forename: M
authors.initials: M
authors.lastname: Salvetti
mesh_terms: D000293:Adolescent; D004621:Embolization, Therapeutic; D018219:Histiocytoma, Benign Fibrous / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D014057:Tomography, X-Ray Computed
vernacular_title: Angiofibroma giovanile gigante: quale via di accesso chirurgico?