Nasopharyngeal angiofibromas: Staging and management

J. R. Chandler, R. Goulding, L. Moskowitz, Robert Quencer

Research output: Contribution to journalArticle

162 Citations (Scopus)

Abstract

We propose a system for staging nasopharyngeal angiofibromas based on clinical evaluation and computerized tomography. Twenty-three patients with this pathologic diagnosis have been managed at the University of Miami/Jackson Memorial Medical Center in the past two decades. In 13 patients, the clinical diagnosis was confirmed by transnasal biopsy as a minor outpatient procedure. This avoided unnecessary diagnostic studies, shortened the hospital stay, and expedited treatment. Computerized tomography has replaced conventional x-ray studies and routine tomography, although angiography is still necessary for proper evaluation of larger tumors. Stage groupings recommended on the basis of this experience are stage I - tumor confined to nasopharynx; stage II - tumor extending into nasal cacity and/or sphenoid sinus; Stage III - tumor extending into one or more of the following: antrum, ethmoid sinus, pterygomaxillary and infratemporal fossae, orbit, and/or cheek; and stage IV - tumor extending into cranial cavity. Surgical excision is recommended for stages I, II, and III. Stage IV tumors require surgical resection and/or radiation therapy with the possible addition of hormonal therapy.

Original languageEnglish
Pages (from-to)322-329
Number of pages8
JournalAnnals of Otology, Rhinology and Laryngology
Volume93
Issue number4 I
StatePublished - Jan 1 1984

Fingerprint

Angiofibroma
Neoplasms
Tomography
Ethmoid Sinus
Sphenoid Sinus
Nasopharynx
Cheek
Paranasal Sinuses
Orbit
Length of Stay
Angiography
Outpatients
Radiotherapy
X-Rays
Biopsy
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Chandler, J. R., Goulding, R., Moskowitz, L., & Quencer, R. (1984). Nasopharyngeal angiofibromas: Staging and management. Annals of Otology, Rhinology and Laryngology, 93(4 I), 322-329.

Nasopharyngeal angiofibromas : Staging and management. / Chandler, J. R.; Goulding, R.; Moskowitz, L.; Quencer, Robert.

In: Annals of Otology, Rhinology and Laryngology, Vol. 93, No. 4 I, 01.01.1984, p. 322-329.

Research output: Contribution to journalArticle

Chandler, JR, Goulding, R, Moskowitz, L & Quencer, R 1984, 'Nasopharyngeal angiofibromas: Staging and management', Annals of Otology, Rhinology and Laryngology, vol. 93, no. 4 I, pp. 322-329.
Chandler, J. R. ; Goulding, R. ; Moskowitz, L. ; Quencer, Robert. / Nasopharyngeal angiofibromas : Staging and management. In: Annals of Otology, Rhinology and Laryngology. 1984 ; Vol. 93, No. 4 I. pp. 322-329.
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