title: Complete resolution of stage IIIB juvenile nasopharyngeal angiofibroma with radiation therapy.
abstract: Juvenile nasopharyngeal angiofibroma is a benign, locally aggressive, vascular tumour of adolescent males. Extension to intracranial cavity is not uncommon and presents difficulties in management. Here we report a patient who had Radkowsky stage IIIB lesion, with blood supply from internal carotid artery. In view of anticipated problems with surgery, the patient was treated with 30 Gy in 15# external beam radiotherapy. On follow up, tumour was noted to disappear gradually overtime and at 3 years complete disappearance was noted with normal return of vision. Hence we are re-affirming the earlier studies than angiofibroma mass regresses gradually after completion of radiotherapy. Radiotherapy is a useful way of treating angiofibroma with significant intracranial extension.
authors.affiliation: Department of Otorhinolaryngology and Head & Neck Surgery AIIMS, New Delhi, India.
authors.forename: N B
authors.initials: NB
authors.lastname: Shunyu
authors.forename: A
authors.initials: A
authors.lastname: Thakar
authors.forename: V
authors.initials: V
authors.lastname: Gupta
keywords: Angiofibroma; Intracranial extension; Radiotherapy