A 65-year-old Hispanic man presented with a 2-month history of a moderately tender mass “behind the left ear.” He had noticed that the mass had fluctuated in size, but notable growth over the last several days prompted him to seek medical attention. His medical history was significant for hypertension, type 2 diabetes mellitus, obesity, and Bell palsy on the right side. He denied facial weakness on the left side, otalgia, otorrhea, pain, trismus, dysphagia, odynophagia, fevers, chills, or weight loss. He had quit using tobacco and alcohol 15 years ago.
Hirschi SD, Templer JW, Miick R, Frazier SR. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2007;133(9):947. doi:10.1001/archotol.133.9.947