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August 1973

The Resident's Page

Author Affiliations

The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1973;98(2):137-138. doi:10.1001/archotol.1973.00780020143018


Helmuth Goepfert, MD, and Robert E. Fechner, MD, Houston  A 50-year-old white man (stonemason) was hospitalized because of nasal stuffiness of a few months duration and slight mucoid discharge, occasionally blood streaked. Physical examination showed a soft, friable, pink growth in the area of the right middle meatus. X-ray results showed a cloudy right ethmoid labyrinth with some bone destruction. There was no radiologic sign of intracranial extension. A transnasal biopsy was taken from the right middle turbinate area (Fig 1 to 4). (Figures 5 and 6 are from another patient discussed later.)

Clinical and Pathologic Diagnosis  Pathologic Diagnosis.— Well-differentiated adenocarcinoma simulating colonic carcinoma.The patient had a fronto-ethmoid exenteration done for a friable, pinkish, irregular, soft infiltrating lesion. Local recurrences were resected six, 13, 15, and 17 years after the initial procedure, respectively. The cribriform plate was removed on the third procedure, part of the nasal