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Clinical Problem Solving: Pathology
December 2004

Pathology Quiz Case 2

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Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Otolaryngol Head Neck Surg. 2004;130(12):1439. doi:10.1001/archotol.130.12.1439

A 78-year-old man presented with a lesion on the left side of his nose. The lesion had been there for approximately 6 months and had gradually increased in size. The patient’s medical and surgical histories were essentially noncontributory, and he denied having any constitutional signs or symptoms. He also denied excessive sun exposure or trauma.

Physical examination revealed a 3.5 ×2.5-cm, firm, raised, reddish brown, nontender lesion on the left aspect of the nose (Figure 1). The lesion involved the entire ala on the left side and went up to the nasolabial foldbut did not cross the midline. The periphery of the lesion was not well defined. However, there was no evidence of deep extension into the nasal cavity or involvement of the left nasal mucosa. The results of the rest of the examination were unremarkable. There was no cervical lymphadenopathy.

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