Question:
A 16-year-old male presents with recurrent profuse nasal bleeding in the right nasal cavity. Endoscopy shows a globular mass in the right nasal cavity. CT shows bowing of the posterior wall of maxillary sinus. What is the most probable diagnosis?
A 16-year-old male presents with recurrent profuse nasal bleeding in the right nasal cavity. Endoscopy shows a globular mass in the right nasal cavity. CT shows bowing of the posterior wall of maxillary sinus. What is the most probable diagnosis?
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Adolescent male + recurrent profuse epistaxis + nasal mass = JNA.
Updated On: May 14, 2026
- Juvenile Nasopharyngeal Angiofibroma (JNA)
- Antrochoanal polyp
- Rhinosporidiosis
- Rhinoscleroma
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The Correct Option is A
Solution and Explanation
Concept:
Juvenile nasopharyngeal angiofibroma is a benign but highly vascular tumor seen in adolescent males. It presents with recurrent profuse epistaxis and nasal obstruction.
Step 1: Identify patient profile.
The patient is a 16-year-old male, which is typical for JNA.
Step 2: Identify clinical clue.
Recurrent profuse nasal bleeding strongly suggests a vascular nasal tumor.
Step 3: Use CT clue.
Bowing of posterior wall of maxillary sinus is known as Holman-Miller sign and is associated with JNA. Therefore, the diagnosis is: \[ \text{Juvenile Nasopharyngeal Angiofibroma} \]
Step 1: Identify patient profile.
The patient is a 16-year-old male, which is typical for JNA.
Step 2: Identify clinical clue.
Recurrent profuse nasal bleeding strongly suggests a vascular nasal tumor.
Step 3: Use CT clue.
Bowing of posterior wall of maxillary sinus is known as Holman-Miller sign and is associated with JNA. Therefore, the diagnosis is: \[ \text{Juvenile Nasopharyngeal Angiofibroma} \]
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