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March 1988

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1988;114(3):338-341. doi:10.1001/archotol.1988.01860150120030

PATHOLOGIC QUIZ CASE 1  Dean M. Toriumi, MD, Chicago, Allan P. Wolff, MD, Evanston, IllA 65-year-old man presented with a two-week history of recurrent epistaxis exclusively from the right nostril. The bleeding would cease with gentle pressure but would frequently recur. The patient had a vague history of right-sided nasal congestion. He denied a history of sinusitis, headaches, or tobacco use. On examination, a fleshy, nodular, tan-gray mass was noted in the region of the right middle meatus. Results of the remainder of the otolaryngologic examination were normal. Computed tomography of the paranasal sinuses revealed a large mass in the right maxillary sinus with destruction of the medial wall and extension into the right nasal cavity, right ethmoid sinus, and right frontal sinus.Biopsy of the nasal mass was performed. Light microscopic findings are shown in Fig 1 (high-power magnification). On low-power magnification, no organized pattern was noted. Further

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