Unilateral bloodstained nasal discharge
BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m9 (Published 26 March 2020) Cite this as: BMJ 2020;368:m9
- Zhenxiao Huang, consultant otolaryngologist,
- Qian Huang, consultant rhinologist
- Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
- Correspondence to Qian Huang qian_ner{at}sina.com
A man in his 40s presented with six months of bloodstained nasal discharge from his right nostril. Nasal endoscopy showed purulent bloodstained nasal discharge in the right nasal cavity and a mass with an irregular friable appearance in the right middle meatus of the right nasal cavity; the appearance of the septum and left nasal cavity was normal. He underwent a non-contrast computed tomography scan of his sinuses (fig 1).
Computed tomography scan of the sinuses shown in the coronal plane
Biopsy showed cytoplasmic keratinisation, intercellular bridges, and keratin pearls.
What is the most likely diagnosis?
Answer
Sinonasal squamous cell …
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