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Clinical Problem Solving: Pathology
April 2002

Pathology Quiz Case 2

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2002;128(4):453. doi:

A 49-YEAR-OLD African American woman with no history of alcohol or tobacco abuse presented to our clinic with 2 head and neck masses. Her initial reason for seeking evaluation was a right-sided mass near the angle of the mandible. This mass was firm and uncomfortable but not painful; it had been progressively growing over the last several months. The second mass, which was on the left side of the midneck area, had been slowly growing for 1 year and was also not painful. The patient denied having fevers or night sweats but had experienced chronic pruritus and a 13.6-kg weight loss over the past 2 years. Her medical history was significant for chronic renal failure due to hypertension, and she had been dialysis dependent for the past 6 years.

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