<prompt> A 17 years male presented with swelling in the cheek with recurrent epistaxis. Most likely diagnosis isAngiofibromaCarcinoma nasopharynxRhabdomyosarcomaEthmyoid polyp  <response>: A. i.e. Angiofibroma 230 - Dhingra 4th 296 - maqbool 11thNASOPHARYNGEAL ANGIOFIBROMA Benign but locally invasive lesion of the nasophagrynx Exclusively in males 10 and 25 years of age Lesions arise from the ventral periosteum of the skull as a result of hormonal imbalance or persistence of embryonic tissue Gradually increasing nasal obstruction and recurrent attacks of epistaxis are the common presenting symptoms Probing or palpation of the nasopharynx should not be done Biopsy is contraindicated CT scan of head with contrast enhancement is now the investigation of choice Surgical excision - Transpalatine sublabial Sardanas approach is now the treatment of choice Concomitant RT and cisplatin, followed by adjuvant chemotherapy is currently considered the best treatment of naso pharyngeal carcinoma. 