Juvenile nasopharyngeal angiofibroma presenting as a palatal swelling

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign, highly vascular and locally aggressive tumor that predominantly occurs in adolescent males. Usually the presenting symptom is a painless nasal obstruction or epistaxis; however, other symptoms may depend on the size and extent of the tumor mass. Owing to the vascularity of the tumor, incisional biopsy is not attempted and the diagnosis is, therefore, dependent on multiplanar imaging modalities such as computed tomography, magnetic resonance imaging and angiography. These also help to assess the tumor mass, pre-operative embolization of the feeder vessel, and treatment planning. Usually, JNA patients are diagnosed by otorhinolaryngologists. The purpose of this paper is to present a rare case of JNA with a tender palatal swelling that was first seen by a dentist.