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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 9 year boy presents with nasal obstruction, proptosis, recurrent epistaxis from 3-4 years. Management includes -a) Routine radiological investigationsb) Embolisation alone should be donec) Surgery is treatment of choiced) Embolisation followed by surgerye) Conservative management is sufficient
assistant
The correct answer is  Nasal obstruction, proptosis and recurrent epistaxis from 3-4 years in a 9 years boy suggest the diagnosis of nasopharyngeal angiofibroma.
Routine radiological investigations e.g., soft tissue lateral film of nasopharynx; X-rays of paranasal sinus and base of skull; and CT scan (investigation of choice) should be done.
Surgery is the treatment of choice. Preoperative embolization and cryotherapy reduce the vascularity and therefore blood loss at surgery.