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Pathologic Quiz Case 2
Mark Strasser, MD;
Lyon Gleich, MD;
Simon Hakim, MD;
Paul Biddinger, MD
Arch Otolaryngol Head Neck Surg. 1998;124:715-717.
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A 50-YEAR-OLD man presented with a 3-month history of progressively worsening left-sided nasal obstruction due to an enlarging mass. This otherwise painless, nonbleeding vestibular mass was associated with no other local or systemic symptoms. The patient was a moderate smoker, with no other contributory medical or social history. Examination revealed a firm, blue-gray, round, smooth, broad-based lesion, measuring 3.5 cm in diameter, originating from the anterosuperior cartilaginous septum. The overlying mucosa was intact and otherwise normal in appearance.
The findings of the rest of the head and neck examination were unremarkable. An excisional biopsy was performed in the surgical suite 1 week later. The mass separated freely from the underlying septal cartilage. Frozen section suggested neoplasm, and circumferential and deep margins were excised. These margins were negative, and the defect was left to close secondarily. A hematoxylin-eosin–stained section . . . [Full Text of this Article]
Cincinnati, Ohio
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