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June 1997


Arch Otolaryngol Head Neck Surg. 1997;123(6):654-657. doi:10.1001/archotol.1997.01900060106019

Pathologic Quiz Case 1  Tamir M. Mosharrafa; Ronald B. Kuppersmith, MD; Jennifer P. Porter, MD; Donald T. Donovan, MD; Houston, TexA 30-year-old white woman presented to her local physician with a 1-year history of right-sided nasal obstruction, headaches, and fullness in the right medial canthal region. She denied any rhinorrhea, epistaxis, or facial swelling. She also denied systemic symptoms and was otherwise healthy.Physical examination revealed patent nasal passages bilaterally. Significant edema of the right middle meatus was present, and the nasal mucosa was very sensitive to instrumentation. A 0.5×0.5-cm mass was palpated in the right nasal dorsum and medial canthal region. The mass was firm, nonmobile, and mildly tender. There was no discoloration of the overlying skin. The patient had mild tenderness to palpation over the right frontal sinus. Her face appeared symmetrical, and the findings of her ocular examination were normal.A computed tomographic scan of

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