Primary Chest Wall Angiofibroma: Expanding the Spectrum of Benign Chest Wall Tumours

Angiofibromas are benign vascular tumours predominantly found in the nasopharynx, with primary chest wall occurrences being exceedingly uncommon. While well-documented in certain anatomical locations like the nasopharynx and facial skin, primary chest wall angiofibromas represent an extremely rare entity with limited information in the medical literature. Management should follow principles for benign but highly vascular chest wall tumours, with comprehensive imaging, cautious biopsy, and complete surgical excision when feasible. Recognising this rarity expands the differential diagnosis of chest wall masses and underscores the importance of documenting atypical sites to improve future diagnosis and management. We report the case of a 62-year-old woman with a symptomatic primary chest wall angiofibroma treated through surgical resection. The patient made an excellent recovery following surgery, which reinforces the clinical importance of identifying rare benign vascular tumours early to guide timely and effective management.