PATHOLOGIC QUIZ CASE 1
Paul T. Gaudet, MD, K.J. Lee, MD, New Haven, Conn
A 15-year-old boy had a two-month history of intermittent swelling and pain of the left upper eyelid. He denied any visual problems, nasal discharge, lacrimal discharge, or fever.
Physical examination showed a healthy-appearing boy with slight left supraorbital edema, but with no palpable masses or deformity. Visual acuity and extraocular muscle movements were normal, as were results of fundoscopic examination. Sensation to the involved area was intact and results of intranasal examination were normal. There were no palpable neck nodes or visceral organomegaly. The remainder of the physical examination results were normal. Complete blood cell count, fasting blood glucose determination, and urinalysis showed no abnormalities. A laminogram was obtained and is shown in Fig 1.
Through a left supraorbital incision, the area was explored; a lesion was found that had eroded the cortex of the
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