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PATHOLOGIC QUIZ CASE 1
J. H. BRANDENBURG, MD, MADISON, WIS
A 73-year-old white woman was first seen in 1954 with a one-year history of intermittent epistaxis from the right nasal passage. Examination revealed a bluish-red mass filling the right posterior choana almost completely. Removal of the mass was achieved through a transpalatal approach; the tumor appeared to arise from the basisphenoid region.The patient experienced no further problems until 1963, at which time she developed intermittent infraorbital pain. Alcohol injections of the right infraorbital nerve successfully reduced the pain on several occasions.Approximately one year ago, the patient again complained of recurrent episodes of epistaxis and progressive right nasal obstruction. Examination revealed a bluish-red mass presenting from the lateral wall of the right nasal cavity and displacing the right inferior turbinate medially. Sinus x-rays showed a soft tissue mass involving the lateral wall of the right nasal cavity, with extension
SATALOFF J. The Resident's Page. Arch Otolaryngol. 1966;84(4):464–467. doi:10.1001/archotol.1966.00760030466020