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May 1990

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1990;116(5):622-625. doi:10.1001/archotol.1990.01870050122021

PATHOLOGIC QUIZ CASE 1  Roy R. Casiano, MD; Scott H. Goldberg, MD; Robert Strimling, Miami, FlaA 58-year-old white woman presented with a 1-year history of dysphagia caused by solid foods. She denied odynophagia, otalgia, or respiratory difficulties. Physical examination revealed lateral oropharyngeal fullness projecting submucosally toward the midline and protruding into the hypopharynx, below the level of the epiglottis. The larynx was uninvolved, with normal mobility and laryngeal crepitation. Findings of the remainder of the examination were normal.With the patient under general anesthesia, the mass was excised using a neck approach. The lesion measured 3.0 cm in diameter. Sections of the lesion are shown in Figs 1 and 2.What is your diagnosis?A 71-year-old white woman was referred to Jackson Memorial Hospital, Miami, Fla, with a 2-year history of intermittent pains in her right temporal area and a 2-month history of a progressively enlarging nontender neck mass in the area of the right mandibular angle. Her surgical history was significant for a wide

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