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June 1969

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Arch Otolaryngol. 1969;89(6):908-911. doi:10.1001/archotol.1969.00770020910021

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PATHOLOGIC QUIZ CASE 1  John A. Kirchner, MD, New Haven, ConnA 55-year-old woman was well until two months ago when she began noticing fullness on the left side of her throat. She complained also of occasional pain in the left ear. There was no real dysphagia, but occasional aspiration of liquids. The voice was normal under most conditions, but tended to tire more easily than usual. No other pertinent complaints were present.Examination showed a large mass occupying the left tonsillar fossa, displacing the soft palate and uvula to the right of the midline and covered by normal looking mucous membrane. It extended down to about the level of the vallecula and upward into the nasopharynx to a level of the inferior turbinate. The vocal cords moved normally. Palpation of the neck revealed the mass at the angle of the jaw extending from the level of the mastoid process

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