FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 50-YEAR-OLD man presented with a 3-month history of progressively worsening left-sided nasal obstruction due to an enlarging mass. This otherwise painless, nonbleeding vestibular mass was associated with no other local or systemic symptoms. The patient was a moderate smoker, with no other contributory medical or social history. Examination revealed a firm, blue-gray, round, smooth, broad-based lesion, measuring 3.5 cm in diameter, originating from the anterosuperior cartilaginous septum. The overlying mucosa was intact and otherwise normal in appearance.
Strasser M, Gleich L, Hakim S, Biddinger P. Pathologic Quiz Case 2. Arch Otolaryngol Head Neck Surg. 1998;124(6):715-717. doi:10.1001/archotol.124.6.714