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May 1969

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Arch Otolaryngol. 1969;89(5):786-789. doi:10.1001/archotol.1969.00770020788023

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PATHOLOGIC QUIZ CASE 1  James W. Linehan, MD, Palo Alto, CalifA 13-month-old white boy was referred with a history of progressive left parotid swelling since birth. There was no history of local infection, cutaneous drainage, trauma, facial paresis, or systemic disease. The parotid mass did not fluctuate in size with mastication. During a five-month follow-up there was no evidence of infection or obstruction of Stensen's duct; clear saliva flowed readily with compression of the parotid. The infant was otherwise in good health.Palpation revealed a diffuse, nontender, immobile, soft but nonfluctant 4×3 cm tumor situated in the posterior-inferior portion of the parotid gland. There was no evidence of facial weakness or of overlying dermal changes. Intraoral examination, including that of Stensen's duct, was normal; there was no cervical adenopathy. An ethiodal sialogram was suggestive of a vascular tumor. The mass was removed surgically (Fig 1 and 2).


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