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  Vol. 133 No. 11, November 2007 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case

Miranda S. Dennis, BS; Emily F. Rudnick, MD; Shah Giashuddin, MD; Celeste N. Powers, MD, PhD; Evan R. Reiter, MD
Virginia Commonwealth University Medical Center, Richmond

Arch Otolaryngol Head Neck Surg. 2007;133(11):1167.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 64-year-old man presented with a 6-month history of recurrent left-sided epistaxis and nasal congestion. He did not smoke and had no history of allergic rhinitis, sinusitis, or coagulopathy. He denied pain, headache, or visual changes. Physical examination revealed a polypoid mass completely obtructing the left nasal cavity. The patient's pupils were symmetrically reactive, and there was no proptosis or extraocular muscle entrapment. The oral cavity was edentulous, and the palate was without lesions.

A computed tomogram demonstrated a large, homogeneous mass filling the left nasal cavity as well as the ethmoid and maxillary sinuses (Figure 1). There was no evidence of orbital or intracranial extension; however, there was bony erosion at the floor of the maxillary sinus. An excisional biopsy, which was performed via an endoscopic medial . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(11):1168.
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