title: Midline granuloma.
abstract: A 34-year-old woman had a granulomatous ulceration of the nose that responded to radiation therapy. The limitation of the disease to the nose and the histologic findings were consistent with a diagnosis of midline granuloma, Stewart type. The relationship of midline granuloma to Wegener's granulomatosis is reviewed. In view of the uniform mortality that accompanies untreated midline granuloma, a correct diagnosis must be made so that radiation therapy can be promptly instituted.
mesh_terms: D000328:Adult; D005260:Female; D006103:Granuloma, Lethal Midline / Q000175:diagnosis* / Q000382:microbiology / Q000532:radiotherapy; D006801:Humans; D013210:Staphylococcus / Q000302:isolation & purification; D013291:Streptococcus / Q000302:isolation & purification