PATHOLOGIC QUIZ CASE 1
Frank I. Marlowe, MD, Philadelphia
The patient is a 54-year-old black woman who had a one-day history of intermittent nosebleed. She had noted occasional bleeding of the nose for the past 14 years, and on one occasion, it had been rather severe over a three day period, but abated spontaneously without medical attention. Examination revealed a polypoid, friable, granular-appearing mass in the right nasal vestibule, at the junction of the upper lateral cartilage with the septum. The lesion appeared to originate from the septum. Surgical excision under local anesthesia confirmed its origin from the septum, and moderately brisk bleeding from the area of resection was controlled by placement of an intranasal pack for several days. The presumptive diagnosis at the time of resection was pyogenic granuloma (Fig 1 and 2).
PATHOLOGIC QUIZ CASE 2
Bruce R. Witten, MD, Miami, Fla
A 48-year-old man was referred for
FECHNER RE. The Resident's Page. Arch Otolaryngol. 1974;100(1):76–78. doi:10.1001/archotol.1974.00780040080020
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