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November 1989

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Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1989;115(11):1384-1387. doi:10.1001/archotol.1989.01860350118027

PATHOLOGIC QUIZ CASE 1  Nancy R. Juhlin, MD, Craig S. Derkay, MD, Washington, DCA 2 ½-year-old girl was referred for evaluation of a left intranasal mass. This mass had been present since birth, with no growth or change in size during crying or straining. There was no history of epistaxis, respiratory distress, or sinusitis.Clinical examination revealed an indistinct fullness of the left nasal dorsum, distorting the nasal profile. Intranasally, a distinct mass was noted in the area of the left middle turbinate, extending superiorly. The mass appeared to be covered with normal nasal mucosa.Computed tomography and magnetic resonance imaging were performed. Coronal and axial computed tomographic sections revealed a left nasal mass extending into the superior nasal vault. The mass expanded the left nasal bone, but there was no suggestion of extension of the mass to the cribriform plate or associated bony defect. Magnetic resonance imaging

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