We describe an adult patient with recurrent juvenile angiofibroma, which presented as a rapidly enlarging, hypervascular mass in the anterior part of the cheek. The case is unusual because of the extreme delay (greater than 30 years) and the anatomic location of the recurrence.

BACKGROUND Cellular angiofibroma represents a rare mesenchymal tumor typically involving the inguinoscrotal area in middle-aged men. Although the origin of this benign tumor is unknown, it is histologically classified as an angiomyxoid tumor. Cellular angiofibroma is characterized by a diversity of pathological and imaging features. An accurate preoperative diagnosis is challenging. Magnetic re...