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June 1987

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1987;113(6):672-675. doi:10.1001/archotol.1987.01860060098030

PATHOLOGIC QUIZ CASE 1  David M. Alessi, MD; Jan Zemplenyi, MD; Yao S. Fu, MD, Los AngelesA 58-year-old nonsmoking man presented to the Head and Neck Surgery service with a one-year history of progressively worsening right-sided nasal congestion and rhinorrhea. There were no other otolaryngologic complaints. Examination revealed two distinct lesions of the right nasal cavity: a 5-mm, pinkish, papillomatous growth arising from the inferolateral aspect of the nasal vestibule, and a large friable mass, covered with thick white mucus, apparently arising from the ethmoid region and blocking the entire nasal passage. A transnasal biopsy was performed on specimens of both lesions as shown in Figs 1, 2, and 3. A computed tomographic scan revealed complete opacification of the right frontal, ethmoid, and maxillary sinuses without any evidence of bony erosion (Fig 4). The nasal septum was displaced to the left.What is your diagnosis?


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