Nose & Paranasal Sinuses · NEET PG Preparation ENT

A 35-year-old male presents with recurrent episodes of massive unilateral epistaxis, nasal obstruction, and a smooth, bluish-purple mass filling the…

Practice question from Nose & Paranasal Sinuses (NEET PG Preparation ENT), with the correct answer and a step-by-step solution.

easy · MCQ · Q-3AD7ED

A 35-year-old male presents with recurrent episodes of massive unilateral epistaxis, nasal obstruction, and a smooth, bluish-purple mass filling the nasopharynx. Biopsy is strictly contraindicated due to the risk of severe hemorrhage. What is the most likely diagnosis?

  1. A.Inverted papilloma
  2. B.Juvenile nasopharyngeal angiofibromaCorrect answer
  3. C.Rhabdomyosarcoma
  4. D.Nasopharyngeal carcinoma

Solution

Juvenile nasopharyngeal angiofibroma (JNA) typically occurs in adolescent males and presents with recurrent profuse epistaxis and nasal obstruction. The tumor arises from the posterolateral wall of the nasal cavity near the superior margin of the sphenopalatine foramen. Due to its high vascularity, biopsy is contraindicated.

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