This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
True about juvenile nasopharyngeal angiofibroma -a) Surgery is treatment of choiceb) It is malignant tumourc) ↑Incidence in femalesd) Hormones not used in Rxe) Miller's sign positive 
Select and explain. 
A. a, B. b, C. ae, D. ad
C: ae
Answer: C: ae 
Explanation: JNA is a benign tumor.
It occurs almost exclusively in males.
Hormones are used in the treatment


Preoperative estrogen to reduce the vascularity
As the primary or adjunctive treatment → Flutamide can be used


Antral sign or Holman - Miller sign is pathognomic of NFA.
Surgery is the treatment of choice.