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Pathologic Quiz Case 1
Arch Otolaryngol Head Neck Surg. 1999;125:228-230.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 72-YEAR-OLD white woman was referred to our institution for evaluation of a slowly progressive nasal obstruction. Two years previously, she had been seen by her local otorhinolaryngologist for the same complaint. At that time, she was found to have a mass involving the nasal tip and the anterior aspect of the septum. She underwent excision of the lesion, and pathologic examination revealed "benign, dense fibrous connective tissue." Since then, she had increasing difficulty with nasal breathing bilaterally. She complained of a nasal voice, snoring, and hyposmia. She denied pain, epistaxis, purulent rhinorrhea, and sinusitis.
Her medical history was remarkable only for colonic polyps. Her only nasal surgery was the one noted above. She was taking no medications and had never received radiation therapy. She had been exposed to wood dust and refinishing chemicals as a result of her woodworking hobby.
Physical examination revealed thickening and firmness of the anterior . . . [Full Text of this Article]
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