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An 11-year-old boy presented with a several-month history of right-sided epistaxis. These episodes initially occurred 1 to 2 times a week and tapered to a frequency of 1 to 2 times a month. The episodes of epistaxis were typically mild and managed at home with pressure application. However, a more severe episode prompted evaluation in the emergency department and subsequent referral to the otolaryngology service. The patient had no symptoms other than ipsilateral nasal obstruction. Physical examination revealed a pink, polypoid mass in the anterior nasal cavity that appeared to be pedicled on the head of the inferior turbinate (Figure 1). Nasal endoscopy did not show any other mucosal abnormalities.
Gernon TJ, McHugh JB, Thorne MC. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2010;136(9):930. doi:10.1001/archoto.2010.138-a