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October 1965

The Resident's Page

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Arch Otolaryngol. 1965;82(4):436-439. doi:10.1001/archotol.1965.00760010438023

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PATHOLOGIC QUIZ CASE 1  A 52-year-old white man complained of persistent hoarseness of two months duration. It was unassociated with a respiratory tract infection. He had previous episodes of hoarseness nine years ago and one year ago and had responded to antibiotic therapy. He was a heavy smoker and consumed a moderate amount of alcoholic beverages.Examination revealed a sessile, rather well-localized lesion which involved the middle third of the right vocal cord. It appeared granular and slightly red. There was no impairment of vocal cord mobility. Nodes were not palpable in his neck. The lesion was entirely removed as a diagnostic and therapeutic procedure with direct laryngoscopy and local anesthesia (Fig 1).

PATHOLOGIC QUIZ CASE 2  A 15-year-old boy had noted stuffiness in his right ear for two weeks. He experienced no pain but complained that the ear felt as though it had water in it, or was "running."

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