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A man in his 60s in otherwise good health was referred for a history of recurrent right-sided epistaxis that occurred every 3 to 4 years. Two previous biopsy specimens from the suspected source of the bleeding on the right inferior turbinate revealed only chronic inflammation. On fiberoptic nasal endoscopy, a submucosal mass was seen in the right nasal cavity. The inferior turbinate could not be visualized as distinct from this lesion, and there was no space seen between it and the nasal septum. Findings from the remainder of the intranasal examination and evaluation of the nasopharynx were normal. Computed tomography (CT) of the paranasal sinuses was performed for further evaluation. The scan revealed a soft-tissue mass in the right anterior nasal cavity inseparable from the inferior turbinate and nasal septum with some scalloping of bone at the piriform aperture but with no aggressive behavior (Figure, A).
Iwata AJ, Friedmann DR, Kaplan J, Wang BY, Lebowitz RA. A Man With Recurrent Right-Sided Epistaxis . JAMA Otolaryngol Head Neck Surg. 2013;139(10):1067-1068. doi:10.1001/jamaoto.2013.4397