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October 1987

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1987;113(10):1120-1122. doi:10.1001/archotol.1987.01860100098033

PATHOLOGIC QUIZ CASE 1  Benjamin K. Finkelhor, MD, Michael D. Maves, MD, Iowa CityA healthy 45-year-old woman presented to her local otolaryngologist for right-sided nasal obstruction. Physical examination revealed a right anterior nasal-septal deviation. A nasal septoplasty was recommended. During the septoplasty a tumor was noted on the right posterior nasal septum. A biopsy of a specimen of the tumor was performed (Fig 1), and the patient was referred to the Department of Otolaryngology–Head and Neck Surgery at the University of Iowa Hospitals and Clinics, Iowa City, for further treatment.Physical examination of the nose at the time of her referral revealed a stalk of friable, pale, yellow tissue emanating from the posterior third of the right nasal septum. Results of routine laboratory and roentgenographic evaluation were within normal limits. A computed tomographic scan of the paranasal sinuses demonstrated the residual area of disease on the posterior nasal septum without bony destruction (Fig 2). The patient was taken to the operating

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