<prompt> A 13 years boy presented with swelling in the cheek with recurrent epistaxis. Most likely diagnosis isAngiofibromaCarcinoma nasopharynxRhabdomyosarcomaNone  <response>: Angio fibroma 230-Dhingra 4th Nasopharyngeal Fibroma Juvenile nasopharyngeal angiofibromaClinical features Almost exclusively in male age 10-20 years Profuse and recurrent epistaxis Progressive nasal obstruction and denasal speech Conductive hearing and serous otitis media Mass in the masopharynx Other clinical features like - broadening of the nasal bridge, proptosis, swelling of chest infratemporal fossa or involvement of Ilnd, Illrd , IVth Vlth cranial nerve CT-scan of the head with contrast enhancement is now the investigation of choice Surgical excision Transpalatinei Sublabial Sardanas approach is now the treatment of choice 