Abstract
In a paper presented at the Eastern Section Meeting of the Triological Society, Trevor McGill, MD, and colleagues, of the Children's Hospital Medical Center, Boston, discussed angiofibroma of the nasopharynx and contiguous areas. The authors utilized the staging system devised by Chandler, and recommended using the computed tomography scan to evaluate the size and the location of the tumor. Angiography has not been reliably diagnostic in all cases of angiofibroma, and some false-positive results are seen. The authors routinely utilize preoperative embolization unless there is intracranial extension. Stage II and III tumors are approached through lateral rhinotomy. Analysis of treatment outcome showed that 14% of the patients experienced recurrence, which was treated with radiation therapy. In a discussion of the paper it was stated that the University of Toronto group is tending to move away from radiation therapy and toward the above-summarized approach.
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