Fibroma of the nasopharynx

Fibroma of the nasopharynx is the most common tumor of the nasopharynx. Histologically, it refers to benign neoplasms, however, uncontrolled growth with the destruction of surrounding tissues, including bone, the tendency to relapse after removal, frequent, sometimes life-threatening bleeding gives grounds for clinically treating this tumor as malignant. The starting point of fibroids most often are the nasopharynx arch and the posterior wall of the pharynx, the direction of growth - into the pharyngeal cavity, nose and its adnexal sinuses, into the orbit, zaskulovuyu area, less often into the cavity of the skull. Tumor occurs, as a rule, in boys aged 10-13 years. After 24-25 years, tumor growth stops and it undergoes reverse development.

Symptoms, course. Unilateral nasal congestion, then after 5-6 months, nasal breathing is turned off completely from both sides, a closed nasal appearance appears. There may be a sharp anemia as a result of repeated nasal bleeding, characteristic of this disease. With a common tumor, depending on the direction of its growth, exophthalmos may appear, protrusion of the soft and hard palate, deformation of the external nose and other signs. Germination of the tumor into the cavity of the skull threatens the life of the patient.

Diagnosis is made using anterior and posterior rhinoscopy, palpation of the nasopharynx. The prevalence of the process is refined by an X-ray method, including tomography. Differential diagnosis is carried out with adenoids and malignant tumors, in contrast to which in the nasopharyngeal fibrosis there are no metastases and ulcers. Treatment is often surgical.