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Clinical Problem Solving: Pathology
Mar 2012

Pathology Quiz Case 1

Arch Otolaryngol Head Neck Surg. 2012;138(3):313. doi:10.1001/archoto.2011.1231a

A 57-year-old Middle Eastern man presented to an outside hospital with a mass protruding from his oral cavity after multiple episodes of emesis (Figure 1). His wife said that he “vomited a second tongue.” He was previously asymptomatic, denying voice changes, respiratory complaints, dysphagia, or odynophagia. His medical history was notable only for mild gastroesophageal reflux disease. He had a 24 pack-year smoking history. He was uncomfortable but without respiratory distress. To prevent aspiration, a suture was placed in the mass and taped to his cheek. He was referred to our center for further treatment.