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  Vol. 134 No. 10, October 2008 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case 2

Michael J. Brenner, MD; Bruce H. Haughey, MBChB, MS, FRACS; James S. Lewis Jr, MD
Washington University School of Medicine, St Louis, Missouri

Arch Otolaryngol Head Neck Surg. 2008;134(10):1117.

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

A 54-year-old woman presented with right-sided symptoms of nasal airway obstruction and sinus pressure, which had progressively worsened over the past several weeks. Her medical history was remarkable for melanoma and breast cancer. Inspection of the right nasal cavity revealed a whitish gray mass with friable adjacent mucosa. Magnetic resonance imaging (MRI) demonstrated a lobulated soft tissue mass filling the right nasal cavity, with a mass effect along the right maxillary sinus and lateral displacement of the right pterygopalatine fossa. The mass was isointense to muscle on gadolinium-enhanced T1-weighted images and was slightly hyperintense to muscle on T2-weighted images.

Nasal endoscopy revealed a mass extending from the nasal cavity into the right middle meatus and right ethmoidal region. Hematoxylin-eosin–stained sections of the biopsy specimen showed a small blue-cell tumor consisting of sheets of cells with . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(10):1118-1119.
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