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Abstract

PATHOLOGIC QUIZ CASE 1 R. D. Anderson, MD, and K. D. Devine, MD, Rochester, Minn A 60-year-old white woman consulted her local otolaryngologist about a nasal obstruction of three to four months duration. She had also had three episodes of epistaxis, sneezing, nasal itching, and anterior and posterior rhinorrhea. On examination a very large red pedunculated polyp was noted on the right side. The remainder of the examination was negative and sinus x-ray films were clear. Excision of the polyp was accomplished and the patient was referred to the Mayo Clinic. With cocainization, a gray boggy granulation-like area was noted at the posterior end of the middle turbinate and sphenoethmoid recess area. PATHOLOGIC QUIZ CASE 2 Edward J. Glinski, MD, and Daniel D. Rabuzzi, MD, Syracuse, NY A 76-year-old white man had a one-month history of left periorbital swelling, left nasal and postnasal mucopurulent discharge, and left-sided facial pain.