PATHOLOGIC QUIZ CASE 1
William King Stubbs, MD, Vero Beach, Fla
A 14-year-old boy was admitted to the emergency room of a rural hospital in Louisiana with the chief complaint of a foreign body in the nose. For the past several weeks, the patient had experienced intermittent minor nosebleeds and purulent drainage from the right nostril. He had also noted an obstruction on the right side of the nose. Several hours before coming to the hospital, he had sneezed, causing a three-inch elongated fragment of beefy-red tissue to extrude from the naris.The physician on duty noted a 6.5-cm cylindrical mass, apparently attached to the nasal septum, and hanging down to the level of the lower lip. The surface of the specimen was laced with a network of small blood vessels. The mass was grasped with a forceps and avulsed. Minimal bleeding was controlled with an anterior nasal pack, and