PATHOLOGIC QUIZ CASE 1
Samuel I. Miller, MD, Houston
A 14-year-old girl was admitted with a chief complaint of increasingly severe headaches in the left frontal part of the ethmoid sinus area. She had been healthy until two years before admission, and since then had repeatedly been treated for "sinusitis" with oral antibiotics. She also complained of excessive lacrimation in the left eye, left nasal cavity obstruction, and proptosis. Physical examination verified the proptosis, and there was lateral deviation of the left eye. Her extrinsic ocular movements were intact. The left nasal cavity area was occluded by a mass, and a biopsy specimen of the ethmoidal cells at another hospital was interpreted as showing fibrous dysplasia of bone.Skull x-ray films showed diffuse opacity throughout the left ethmoidal labyrinth. A mass expanded the left nasal cavity and bulged into the supermedial aspect of the left maxillary antrum (Fig 1). Computerized
FECHNER RE. Resident's Page. Arch Otolaryngol. 1979;105(12):742–745. doi:10.1001/archotol.1979.00790240056015
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