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Use of current radiation techniques in the diagnosis and treatment of juvenile angiofibromas of the nasopharynx
Authors:Stoliarov D P  Protopopov A V  Burenkov G I  Kochkina T A  Konstantinov E P  Vakhrushev S G  Krasitski? I I  Petrosian V V  Usanin A N  Putilin A V
Institution:Krasnoyarsk Territorial Clinical Hospital, Krasnoyarsk State Medical Academy.
Abstract:In 1992-2001 seventeen patients with juvenile nasopharyngeal angiofibromas (JNAs) were treated at Krasnoyarsk Territorial Clinical Hospital. The patients underwent a comprehensive diagnosis involving computed tomography (CT), magnetic resonance imaging (MRI), and angiography, followed by tumor vascular embolization. Later on JNAs were surgically removed in 14 patients, a course of radiation therapy was performed. In suspected JNA, the authors consider it necessary to concomitantly use CT, MRI, and angiography, which provides the most complete diagnostic picture of a pathological focus. X-ray endovascular occlusion considerably lowers blood loss, facilitates a complete angiofibroma removal, and affects the tolerability of radiation therapy in inoperable cases.
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