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Article
September 1967

The Resident's Page

Author Affiliations

PHILADELPHIA, COORDINATOR

Arch Otolaryngol. 1967;86(3):350-353. doi:10.1001/archotol.1967.00760050352021

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Abstract

PATHOLOGIC QUIZ CASE 1 

John T. Bickmore, MD, Dayton, Ohio  A 19-year-old white girl underwent tonsillectomy under general anesthesia. Her tonsils were very large and adherent to the underlying tonsillar bed presumably from previous peritonsillar inflammation. Prior to surgery a good view of the hypopharynx had not been obtained.Following removal of the left tonsil, a round, smooth firm mass approximately 2 cm in diameter was found attached to the lateral aspect of the base of the tongue, in the lingual tonsil area. Considerable lymphoid tissue ("the lingual tonsil") adjacent to the mass was removed with a snare. The rounded mass was incised and a wedge of reddish-brown tissue from this solid tumor (Fig 1 and 2) was sent to the laboratory for frozen section analysis, while the patient was kept under general anesthesia. Was this the proper procedure and why?

PATHOLOGIC QUIZ CASE 2 

John T. Bickmore, MD, Dayton, Ohio  A 37-year-old white

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