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Clinical Problem Solving: Pathology
March 1, 2008

Pathology Case Quiz 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2008;134(3):334. doi:

A 66-year-old woman presented with a 2-month history of intermittent right-sided epistaxis. She denied any face or head trauma, blood dyscrasias, contralateral nasal obstruction, diplopia, cranial nerve deficits, overlying cheek skin changes, dysphagia, odynophagia, voice changes, weight loss, fever, or chills. Her medical history was remarkable for hypertension, diabetes, and degenerative joint disease. Her surgical history was notable for a total thyroidectomy. She denied tobacco, alcohol, or drug use. Physical examination revealed a large, obstructing, soft tissue mass located in the right nasal cavity. The left nasal cavity was noted to have normal mucosa, normal-sized turbinates, a mildly deviated nasal septum, and no evidence of abnormal lesions or masses.

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