A 39-year-old man presented with a 1-year history of intermittent epistaxis. Nasopharyngoscopic evaluation revealed a reddish, elastically firm pedunculated mass with a smooth surface over the middle roof of the nasopharynx, and a hemangioma was initially suspected. Physical examination revealed that there were no palpable masses, lymphadenopathy, or abnormal cutaneous lesions. The patient's medical history was unremarkable, except that he had previously had sexual experiences with men. The tumor was removed under a nasopharyngoscope, with no significant hemorrhage. The patient subsequently was diagnosed as being positive for human immunodeficiency virus (HIV) by Western blot assay.
Chen J, Lee C, Lin Y, Lan M. Pathology Quiz Case 3. Arch Otolaryngol Head Neck Surg. 2011;137(10):1049. doi:10.1001/archoto.2011.164-a