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Clinical Problem Solving
February 2014

A Large Submucosal Mass With Prominent Superficial Vessels

Author Affiliations
  • 1University of Rochester School of Medicine and Dentistry, Rochester, New York
  • 2University of Rochester Medical Center, Rochester, New York
  • 3University of Rochester, Rochester, New York
JAMA Otolaryngol Head Neck Surg. 2014;140(2):177-178. doi:10.1001/jamaoto.2013.5885

A man in his 40s presented with a multiple-year history of difficulty breathing through his left nostril. Several months prior to presentation, he began to experience left-sided epistaxis occurring up to 10 times per month, which was controlled with direct pressure. More recently, a friend noticed bulging of his left lateral nasal sidewall. Physical examination revealed a large submucosal mass with prominent superficial vessels within the mucosa almost completely filling the left anterior nasal cavity.

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