Nasopharyngeal angiofibroma or juvenile nasopharyngeal angiofibroma is a histologically benign but locally aggressive vascular tumor that grows in the back of the nasal cavity, usually found in adolescent boys.
Diagnosis
If nasopharyngeal angiofibroma is suspected based on physical exam (a smooth submucosal mass in the posterior nasal cavity), imaging studies such as CT or MRI should be performed. Biopsy can lead to extensive bleeding since the tumor is composed of blood vessels without a muscular coat.

Nursing Assessment
1. Hereditary factors or a history of cancer in the family eg mother or grandmother with a history of breast cancer.
2. Spheres of influence, such as chemical irritants, smoke a certain kind of wood.
3. The habit of cooking with certain ingredients or spices and eating foods that are too hot and preserved foods (meat and fish).
4. Low socioeconomic classes will also be related to the environment and living habits. (Efiaty & Nurbaiti, 2001 case 146)
5. Signs and symptoms:
Activity
Weakness or fatigue. Changes in the patterns of rest; presence of factors that affect sleep such as pain, anxiety.
Circulation
As a result of tumor metastases are palpitations, chest pain, decreased blood pressure, epistaxis / nose bleeding.
Ego integrity
Stress factors, concerns about appearance changes, deny the diagnosis, feelings of helplessness, loss of control, depression, withdrawal, anger.
Elimination
Changes in bowel habit constipation or diarrhea, urinary elimination alteration, change of bowel sounds, abdominal distension.
Food / fluid
Poor dietary habits (low fiber, additives, preservatives), anorexia, nausea / vomiting, mouth dryness, food intolerance, weight changes, cachexia, changes in humidity / skin turgor.
Neuro-sensory
Headache, tinnitus, deafness, diplopia, squint, exophthalmos.
Pain / comfort
Discomfort in the ear to ear pain (otalgia), stiffness in the neck area due to tissue fibrosis
Breathing
Smoking (tobacco, marijuana, living with someone who smokes)
Security
Exposure to toxic chemicals, carcinogens, exposure to the sun old / redundant, fever, skin rash.
Social interaction
Inadequate / support system weaknesses
(Doenges, 2000)