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January 1992


Arch Otolaryngol Head Neck Surg. 1992;118(1):98-101. doi:10.1001/archotol.1992.01880010102025

Pathologic Quiz Case 1  James M. Williams, MS, DO, Philadelphia, PaA 72-year-old white woman presented with a left midface mass that had been present for 1 month. She experienced upper lip numbness and episodes of epistaxis. She denied pain or ocoular symptoms.Physical examintion showed a firm 2.5-cm-diameter mass that extended from the left ala to the left orbital rim. The left conjunctiva and the left upper buccal gingival vestibular mucosa were injected. No lesions were seen on the overlying skin or in the oral cavity, larynx, or pharynx.A computed tomographic scan demonstrated an airfluid level and a lobular soft-tissue mass arising from the anteromedial aspect of the left maxillary sinus. There was destruction of the anterior and medial sinus walls. The mass extended into the left ethmoidal sinus, and the septum was deviated to the right (Fig 1). The right maxillary and ethmoidal sinuses and the frontal