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May 1962

Transpharyngeal Needle Biopsy: Use in Diagnosis of Lesions of Cervical Vertebrae

Arch Otolaryngol. 1962;75(5):460-464. doi:10.1001/archotol.1962.00740040471015

Successful aspiration biopsy of a destructive lesion of the body of the third cervical vertebra by means of transoral pharyngeal approach prompts the reporting of this case. As the biopsy yielded adequate tissue for pathologic diagnosis by frozen section, the more hazardous and debilitating anterior cervical approach was circumvented.

Clinical symptoms and findings, considered in conjunction with x-ray evidence, usually lead to the correct diagnosis in the majority of bone tumors. However, there is a considerable number of cases where histological evidence is mandatory for the correct diagnosis. The present case further illustrates the importance of the biopsy in that no surgical intervention was deemed practicable as a part of therapy, no matter what the diagnosis.

Report of a Case  A 15½-year-old, well-developed, well-nourished female, appearing in excellent health, presented a history of slowly increasing stiffness and distress in her neck for 4 months. Symptoms, though never severe, had been

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