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April 1988

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1988;114(4):460-463. doi:10.1001/archotol.1988.01860160104032

PATHOLOGIC QUIZ CASE 1  Richard M. Moss, MD; Tung P. Poon, MD; Pi Tang Lin, MD, New YorkA 69-year-old man complained of intermittent left-sided epistaxis and nasal obstruction for several years. Physical examination disclosed a pink-gray polypoid mass filling the upper left nasal cavity. The right nasal cavity and nasopharynx were clear. Multiple biopsy specimens were obtained. The microscopic findings are shown in Figs 1 and 2.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  Timothy R. Jones, MD, Robert W. Cantrell, MD, Charlottesville, VaA 60-year-old woman presented with progressive nasal obstruction of eight months' duration. Fiberoptic examination at that time disclosed edema of the right middle turbinate, but the nasal cavity and nasopharynx were normal.Examination disclosed a right nasal mass thought to be a choanal polyp. Sinus roentgenograms were normal. A biopsy of the nasal mass was performed, with more than 1 unit of blood loss.