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Clinical Problem Solving: Radiology
Aug 2012

Radiology Quiz Case 1

Author Affiliations
 

SECTION EDITOR: C. DOUGLAS PHILLIPS, MD

Arch Otolaryngol Head Neck Surg. 2012;138(8):771. doi:10.1001/archoto.2012.1195

A 33-year-old man presented with a 1-month history of a foreign body sensation in his throat. He had no associated symptoms, such as dysphagia, dyspnea, dysphonia, or heartburn sensation. His medical history was unremarkable. A routine oral examination revealed a round, smooth-surface tumor at the base of the tongue that was supplied by abundant blood vessels and sheltered most of the epiglottis. The lesion was better visualized by transoral telescopic view of the oropharynx (Figure 1, arrow). On tongue protrusion, the tumor slightly moved forward. No cervical masses or lymphadenopathy was palpated. The thyroid gland was not palpable at its native anterior cervical location.

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