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September 1969

The Resident's Page

Arch Otolaryngol. 1969;90(3):394-397. doi:10.1001/archotol.1969.00770030396025

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PATHOLOGIC QUIZ CASE 1  A. L. Lazar, MD, Miami, FlaA 64-year-old man complained of nasal obstruction and ill-fitting dentures in December 1961. At that time a biopsy of a right-sided nasal tumor was obtained at another institution, and he was referred to us.Our examination showed a large necrotic tumor filling the right nasal cavity and partially occluding the right choana. The patient's neck was normal. The remaining physical examination was unremarkable except for a right surgical flank scar resulting from a nephrectomy performed 13 years prior for removal of a kidney tumor.Roentgenograms revealed a cloudiness of the right maxillary, ethmoid, frontal, and sphenoid sinuses, with possible erosion of the anterior wall of the sphenoid sinus and apparent destruction of the right medial antral wall. Complete blood count (CBC), urinalysis, blood urea nitrogen (BUN), acid and alkaline phosphatase, Venereal

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