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September 1993


Arch Otolaryngol Head Neck Surg. 1993;119(9):1046-1050. doi:10.1001/archotol.1993.01880210142022

Pathologic Quiz Case 1  A 77-YEAR-OLD white man initially presented to an outside institution with a 6-month history of right-sided nasal obstruction, epistaxis, and midfacial pain. Physical examination revealed a softtissue mass in his right nasal cavity. His head and neck examination showed no other lesions or lymphadenopathy. He underwent wide local excision of the mass and postoperative radiation therapy. Initially, his symptoms were relieved by his treatment. However, approximately 7 months later, he began to have more intense pain in his midfacial region and recurrent episodes of epistaxis. He was referred to Stanford (Calif) University Hospital for further management.Subsequent physical examination revealed a grayish soft-tissue mass in the right nasal cavity, with obliteration of the superior recess. Other than radiation skin changes over the right side of the face and the intranasal mass, no additional abnormalities of the head and neck were identified. A magnetic resonance imaging scan

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