PATHOLOGIC QUIZ CASE 1
Mel Abrams, MD, Cincinnati
A 6-month-old girl was admitted for evaluation of a progressive right nasal mass present at birth. No history of rhinorrhea or change in size of the mass with crying was elicited. Clinical examination revealed a 3×3 cm firm, smooth, nontender, slightly moveable subcutaneous mass appearing externally on the right bridge of the nose and internally within the right nasal cavity. The mass seemed to be dorsal to the upper lateral cartilage. It was attached to the undersurface of the skin, did not transluminate, pulsate, change in size with crying, or decrease in size with pressure. The nasal cavity mucosa appeared to be intact. Needle aspiration and biopsy examination of the mass revealed normal nasal tissue. Chest x-ray results were normal and tomograms of the right nasal bone and cribiform plate appeared normal except for displacement of midline structures to the left. Complete
FECHNER RE. Resident's Page. Arch Otolaryngol. 1975;101(2):140–143. doi:10.1001/archotol.1975.00780310062017
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