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May 1984

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol. 1984;110(5):342-345. doi:10.1001/archotol.1984.00800310066018


Anna N. Walker, MD; Philip F. Jones, MD; Warren L. Griffin, MD, Macon, Ga  A 63-year-old man was seen with a several-year history of progressive left-sided nasal obstruction and difficulty swallowing. Five years earlier, a small benign polyp had been removed from his left nasal cavity. The patient was a heavy cigarette smoker, but had no history of allergies or other respiratory ailments.Physical examination disclosed a fleshy, polypoid structure that filled the nasopharynx. The base of the polyp was attached to the left lateral nasal wall in the region of the middle meatus. The condition of the right nasal cavity was normal. Roentgenographic examination of the paranasal sinuses was normal.The patient subsequently underwent complete surgical resection of the polyp (Fig 1). Figures 2 and 3 are representative of its low- and high-power microscopic appearances, respectively. The surgical specimen from the patient's previous polypectomy was

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