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  Vol. 134 No. 4, April 2008 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case 2

Michael J. Brenner, MD; Richard J. Perrin, MD, PhD; Ravindra Uppaluri, MD, PhD; Gregory J. Zipfel, MD; James S. Lewis Jr, MD
Washington University School of Medicine, St Louis, Missouri

Arch Otolaryngol Head Neck Surg. 2008;134(4):447.

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

A 39-year-old man who was congenitally blind in his left eye presented with a 2-month history of progressive headaches, proptosis of the right eye, visual loss, anosmia, and double vision on superior gaze. Nasal endoscopy revealed submucosal swelling that had caused lateral displacement of the uncinate process. A gadolinium-enhanced magnetic resonance image (Figure 1) showed a large mass lesion arising from the floor of the anterior fossa, with extension into the right frontal lobe, paranasal sinuses, nasal cavity, and right orbit. The patient was taken to the operating room for nasal endoscopy with biopsy. After the uncinate process was removed, a large, whitish mass was observed completely replacing the ethmoid cells. Biopsy specimens were obtained. After a diagnosis was established, the patient underwent a craniofacial approach . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(4):448-449.
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