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Clinical Problem Solving: Pathology
June 2012

Pathology Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2012;138(6):601. doi:10.1001/archoto.2012.497a

A 45-year-old man presented with a 6-month history of left-sided nasal obstruction and intermittent epistaxis. His medical and surgical histories were unremarkable. He denied having headache, hyposmia, facial paresthesia, diplopia, blurred vision, fever, night sweats, and body weight loss. He had no history of tobacco, alcohol, or drug abuse. An endoscopic examination revealed a soft-tissue mass occupying the left middle meatus and extending posteriorly toward the nasopharynx (Figure 1). The findings of the rest of the otolaryngologic examination were unremarkable.