Background: Juvenile nasopharyngeal angiofibroma (JNA) also called as bleeding fibroma as this is highly vascular tumor. This is a benign tumor of prepubertal and young adults which is locally aggressive and has got tendency to bleed. The extension of the tumor takes place because of potential available nasopharyngeal space. Case presentation: We present two cases of juvenile nasopharyngeal angiofibromas in different stages with highlighting the role of contrast enhanced computerized tomography (CECT). Conclusion: We emphasize over the clinico-radiological evaluation for making the diagnosis. The correct pre-operative radiological staging is mandatory prerequisite for the surgical management.

Keywords: juvenile nasopharyngeal angiofibroma; vascular tumor; aggressive; CECT; staging; case report.