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Residents Page: Pathology
June 1998

Pathologic Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 1998;124(6):715-717. doi:10.1001/archotol.124.6.714

A 50-YEAR-OLD man presented with a 3-month history of progressively worsening left-sided nasal obstruction due to an enlarging mass. This otherwise painless, nonbleeding vestibular mass was associated with no other local or systemic symptoms. The patient was a moderate smoker, with no other contributory medical or social history. Examination revealed a firm, blue-gray, round, smooth, broad-based lesion, measuring 3.5 cm in diameter, originating from the anterosuperior cartilaginous septum. The overlying mucosa was intact and otherwise normal in appearance.