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April 1990

Resident's Page

Arch Otolaryngol Head Neck Surg. 1990;116(4):486-489. doi:10.1001/archotol.1990.01870040108025

PATHOLOGIC QUIZ CASE 1  LT Robert D. Wallace, MC, USNR; CDR Douglas M. Arendt, DC, USN; Richard T. Irene, MD, San Diego, CalifA 39-year-old man presented with a 1-month history of progressive left nasal obstruction, epistaxis, and swelling of the lateral aspect of the nose and left cheek. He denied a history of tobacco or alcohol use and had no history of nasal surgery. A head and neck examination disclosed swelling over the left lateral nasal area and a left intranasal polypoid mass (Fig 1), but there was no evidence of bleeding or mucosal ulceration. The right nasal cavity and nasopharynx were clear. Sinus roentgenograms were normal. With the patient under local anesthesia, the polypoid mass, which was found to be arising from the nasal septum, was removed and was subsequently submitted for histologic examination (Figs 2 and 3).What is your diagnosis?


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