FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 72-YEAR-OLD white woman was referred to our institution for evaluation of a slowly progressive nasal obstruction. Two years previously, she had been seen by her local otorhinolaryngologist for the same complaint. At that time, she was found to have a mass involving the nasal tip and the anterior aspect of the septum. She underwent excision of the lesion, and pathologic examination revealed "benign, dense fibrous connective tissue." Since then, she had increasing difficulty with nasal breathing bilaterally. She complained of a nasal voice, snoring, and hyposmia. She denied pain, epistaxis, purulent rhinorrhea, and sinusitis.
Schulte DL, Wold LE, Kern EB, Olsen KD. Pathologic Quiz Case 1. Arch Otolaryngol Head Neck Surg. 1999;125(2):228-230. doi:10.1001/archotol.125.2.228