We report nasopharyngeal angiofibroma in a 13 year old boy treated wit
h embolization, surgical excision and radiotherapy, which recurred 13
years later. No features of sarcomatous transformation were found, but
the tumor had a locally aggressive course, possibly due to the HIV-po
sitivity of the patient who then died of AIDS. The relations between t
he clinical course of the tumor and severe immunodeficiency are discus
sed.