{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T04:28:38Z","timestamp":1777004918324,"version":"3.51.4"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,12,31]]},"abstract":"<jats:p>Nasopharyngeal angiofibroma (NA) is a benign, highly vascularised tumour of the nasopharynx, which typically occurs in young males aged 14\u201325 years. We report an interesting case of an NA arising de novo in a 32-year-old male. He was referred to our facility for severe nasal haemorrhage after biopsy of a left nasopharyngeal mass. In the operating room, extensive bleeding was noted, and an endoscopic medial maxillectomy was performed, and the left internal maxillary artery was ligated allowing for near total resection of the lesion. The pathological specimen confirmed the diagnosis of NA. To our knowledge, this is one of the oldest patients presenting with a de novo NA, in his fourth decade of life, confirming that this diagnosis must be considered in all those with large nasopharyngeal masses.<\/jats:p>","DOI":"10.1136\/bcr-2017-222763","type":"journal-article","created":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T07:20:13Z","timestamp":1518074413000},"page":"bcr-2017-222763","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Nasopharyngeal angiofibroma in a 32-year-old man"],"prefix":"10.1136","volume":"2018","author":[{"suffix":"Jr","given":"Patrick O","family":"McGarey","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1687-8240","authenticated-orcid":false,"given":"Abel P","family":"David","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spencer C","family":"Payne","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,2,8]]},"reference":[{"key":"2025082723424720000_2018.feb07_2.bcr-2017-222763.1","unstructured":"Watters K , McGill T , Rahbar R , et al . Pediatric Head and Neck Tumors. New York: Springer Science & Business Media, 2014."},{"key":"2025082723424720000_2018.feb07_2.bcr-2017-222763.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.10.007"},{"key":"2025082723424720000_2018.feb07_2.bcr-2017-222763.3","unstructured":"Thompson LDR . Head and Neck Pathology. 2nd edn. Philadelphia, PA: Elsevier, 2013."},{"key":"2025082723424720000_2018.feb07_2.bcr-2017-222763.4","unstructured":"Sarafoleanu C , Enache R , Sabaru L . Unusual case of nasopharyngeal angiofibroma in adult male patient. Romanial J Rhinol 2011;1."},{"key":"2025082723424720000_2018.feb07_2.bcr-2017-222763.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.01.007"},{"key":"2025082723424720000_2018.feb07_2.bcr-2017-222763.6","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.83"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222763","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:42:56Z","timestamp":1756363376000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222763"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,8]]},"references-count":6,"alternative-id":["10.1136\/bcr-2017-222763"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222763","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,8]]}}}