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A 57-year-old man presented with a 3-week history of intermittent hemoptysis and blood-tinged sputum. He had a medical history of hypertension, type 2 diabetes mellitus, and right-sided thalamic infarction 1 year previously, and was currently taking aspirin therapy. Findings from a bronchoscopy demonstrated a normal bronchial tree and a nasopharyngeal mass. Nasal endoscopy revealed a pedunculated polypoid tumor with smooth, pink-to-red mucosa in the central nasopharyngeal roof (Figure, A). Findings from the rest of the head and neck examination, as well as from the complete blood cell count, biochemical tests, and chest radiograph, were unremarkable.
Wu P, Lee T, Huang C, Lee K, Huang C. Intermittent Hemoptysis and Blood-Tinged Sputum. JAMA Otolaryngol Head Neck Surg. 2013;139(7):743-744. doi:10.1001/jamaoto.2013.3438