“ This is the most common benign nasopharyngeal tumour. The typical scenario is a teenaged boy with epistaxis. These are highly vascular tu...
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This is the most common benign nasopharyngeal tumour. The typical scenario is a teenaged boy with epistaxis.
These are highly vascular tumours and can be locally aggressive.
CT
• Densely enhancing mass involving the nasal wall, retromaxillary or pterygopalatine fossa.
• Widening of the pterygopalatine fossa in 90%—pathognomonic.
• Erosion of the medial pterygoid plate is characteristic.
• Homogeneous intense enhancement post-contrast.
• Intense tumour blush on angiography.
• Lesions are embolised prior to surgery to reduce bleeding.
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