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Clinical Problem Solving: Radiology
November 2005

Radiology Quiz Case 4

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2005;131(11):1026. doi:10.1001/archotol.131.11.1026

A 16-year-old Hispanic boy presented with a 6-month history of a mass in the base of his tongue, on the right side. The lesion had initially been identified during an adenoidectomy; needle biopsy of the mass had yielded frank blood. The patient, who was otherwise in good health, complained of mild dysphagia to bulkier solid foods and altered voice quality. His father also noted that he snored at night but that he had no other obstructive sleep disorder manifestations. His symptoms had not notably improved after the adenoidectomy.

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