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  Vol. 135 No. 5, May 2009 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case 1

Brian Worden, MD; Anne Getz, MD; Robert Luo, MD; Peter H. Hwang, MD
Stanford University Hospitals and Clinics, Stanford, California

Arch Otolaryngol Head Neck Surg. 2009;135(5):520.

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

A 78-year-old woman presented with a 2-month history of recurrent left epistaxis. She had no history of nasal obstruction, nasal discharge, facial pressure, or headache. She had a history of hypertension, but she was otherwise healthy. Endoscopic evaluation revealed a violaceous pedunculated soft-tissue mass arising from the left posterior septum and sphenoethmoidal recess. The findings of a comprehensive head and neck examination were otherwise unremarkable. A computed tomographic scan of the sinuses revealed soft-tissue opacification of the posterior left nasal passage, without bony expansion or erosion (Figure 1). A biopsy performed at another center revealed that the soft-tissue mass was a benign lesion with features suggestive of a glomus tumor. Reportedly, the biopsy produced considerable bleeding, which required the placement of dissolvable nasal packing. The patient was subsequently referred to our institution for evaluation.


 
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RELATED ARTICLE

Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2009;135(5):522.
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