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Clinical Problem Solving: Pathology
September 2007

Pathology Quiz Case 2

Author Affiliations

University of Missouri, Columbia  



Arch Otolaryngol Head Neck Surg. 2007;133(9):947. doi:10.1001/archotol.133.9.947

A 65-year-old Hispanic man presented with a 2-month history of a moderately tender mass “behind the left ear.” He had noticed that the mass had fluctuated in size, but notable growth over the last several days prompted him to seek medical attention. His medical history was significant for hypertension, type 2 diabetes mellitus, obesity, and Bell palsy on the right side. He denied facial weakness on the left side, otalgia, otorrhea, pain, trismus, dysphagia, odynophagia, fevers, chills, or weight loss. He had quit using tobacco and alcohol 15 years ago.

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