A 64-year-old man presented with a 6-month history of recurrent left-sided epistaxis and nasal congestion. He did not smoke and had no history of allergic rhinitis, sinusitis, or coagulopathy. He denied pain, headache, or visual changes. Physical examination revealed a polypoid mass completely obtructing the left nasal cavity. The patient's pupils were symmetrically reactive, and there was no proptosis or extraocular muscle entrapment. The oral cavity was edentulous, and the palate was without lesions.
Dennis MS, Rudnick EF, Giashuddin S, Powers CN, Reiter ER. Pathology Quiz Case. Arch Otolaryngol Head Neck Surg. 2007;133(11):1167. doi:10.1001/archotol.133.11.1167