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  Vol. 135 No. 2, February 2009 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case 1

LCDR Thomas Q. Gallagher, MC, USN; CDR Ashley A. Schroeder, MC, USN
Naval Medical Center, Portsmouth, Virginia

Arch Otolaryngol Head Neck Surg. 2009;135(2):216.

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

A 49-year-old woman presented with a 6-month history of right-sided epiphora and a slowly enlarging palpable "bump" on the right side of her nasal wall. She had no remarkable medical history and denied any bloody drainage or pain related to her eye or nose. She also denied using alcohol or tobacco. She was in good health otherwise and had no constitutional symptoms. Physical examination revealed a 2-cm firm, smooth, nontender mass at the right nasal side wall. The mass was nonmobile, and there were no overlying ulcerations or skin changes. The patient's extraocular movements were intact, and there was no afferent pupillary defect. Some ipsilateral epiphora was present. Nasal endoscopy and a head and neck examination revealed no other abnormalities.

Computed tomography of the head showed an expansile 2.6-cm soft-tissue mass following the course of the nasolacrimal duct . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2009;135(2):218-219.
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