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February 12, 1927


Author Affiliations

Kokomo, Ind.

JAMA. 1927;88(7):476. doi:10.1001/jama.1927.92680330001010b

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I am reporting this case because the microscopic changes and the location of the tumor are most unusual. Undoubtedly this was a congenital misplacement of tissue.

A woman, aged 19, single, was troubled with occasional attacks of grand mal, tubotympanic catarrah and deafness. In making a routine examination of the nose and throat, I discovered a small tumor mass in the pharyngeal opening of the left eustachian tube. While the tumor mass was freely movable, it completely blocked the tube opening, acting like a ball valve. I discovered that it was attached well up in the tube on the posterior lip by a broad base. With the aid of a nasopharyngoscope, I was easily able to remove the tumor with a snare.

Microscopic examination revealed that the sections consisted chiefly of lobules of salivary gland tissue, separated by wide bands of fibrous tissue and having a narrow layer of lymphoid

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