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Clinical Problem Solving: Pathology
February 2006

Pathology Quiz Case 1

Author Affiliations

Penn State Milton S. Hershey Center, Hershey, Pa



Arch Otolaryngol Head Neck Surg. 2006;132(2):220. doi:10.1001/archotol.132.2.220

A 39-year-old man presented with a lesion on the meatal surface of the tragus. He had first noticed the lesion several months earlier when he picked at it and it began to bleed. He denied hearing loss, tinnitus, vertigo, or otorrhea and was unsure if the lesion was growing. His medical history was significant for Hodgkin lymphoma, which had been diagnosed 6 years earlier and treated with chemotherapy.

Physical examination revealed a 0.5 × 0.5-cm yellow polypoid nodule superficial to the tragal cartilage, at the level of the external auditory meatus (Figure 1). The skin overlying the lesion had no signs of ulceration or crusting. There was no continuity with bone, and there were no other lesions on the face, trunk, or extremities. The tympanic membranes and facial nerve function were normal.

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