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Clinical Problem Solving: Pathology
August 2001

Pathology Quiz Case

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2001;127(8):1003. doi:10.1001/archotol.127.8.1003

A 68-YEAR-OLD WOMAN presented with an 8-year history of a slowly enlarging mass on her soft palate. She described the mass as painless and denied any history of trauma or symptoms of otalgia, dysphagia, dysphonia, dyspnea, or weight loss. There was no history of tobacco or alcohol abuse.

Oral examination revealed a 2-cm submucosal soft tissue mass of the left soft palate. This area was nonulcerated and nontender. Except for a large goiter, no masses or lymphadenopathy was found in the neck. The results of the rest of the head and neck examination were normal. A computed tomographic scan of the head and neck region (Figure 1) revealed a 2.0 × 1.5-cm mass within the left soft palate, extending into the uvula, with a small central area of hypodensity. There were no enlarged lymph nodes. A large, multinodular goiter with substernal extension was also identified.

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