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June 1966

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Arch Otolaryngol. 1966;83(6):620-624. doi:10.1001/archotol.1966.00760020622028

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J. R. CHANDLER, MD, MIAMI, FLA  A 16-year-old school boy had experienced progressive nasal obstruction, primarily on the left side, for the previous three years. It had recently become more or less complete and persistent and for ten days had been accompanied by intermittent bleeding from his nose both anteriorly and posteriorly.Examination revealed a tumor which filled the entire posterior half of the left nasal cavity and extended around the posterior septum to cause nearly complete obstruction on the right. The tumor could be seen in the nasopharynx and appeared smooth and firm in consistency. There were no palpable lymph glands. The tumor was not biopsied but completely removed by a transoral approach. Figure 1 shows a microscopic section of the mass.A 28-year-old white single secretary had known of a small lump behind her left ear for four years. Ten days previously it became

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