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A 78-year-old woman presented with a 2-month history of recurrent left epistaxis. She had no history of nasal obstruction, nasal discharge, facial pressure, or headache. She had a history of hypertension, but she was otherwise healthy. Endoscopic evaluation revealed a violaceous pedunculated soft-tissue mass arising from the left posterior septum and sphenoethmoidal recess. The findings of a comprehensive head and neck examination were otherwise unremarkable. A computed tomographic scan of the sinuses revealed soft-tissue opacification of the posterior left nasal passage, without bony expansion or erosion (Figure 1). A biopsy performed at another center revealed that the soft-tissue mass was a benign lesion with features suggestive of a glomus tumor. Reportedly, the biopsy produced considerable bleeding, which required the placement of dissolvable nasal packing. The patient was subsequently referred to our institution for evaluation.
Worden B, Getz A, Luo R, Hwang PH. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2009;135(5):520-523. doi:10.1001/archoto.2009.37-a