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November 1969

The Resident's Page

Author Affiliations

1721 Pine St, Philadelphia 19103

Arch Otolaryngol. 1969;90(5):660-663. doi:10.1001/archotol.1969.00770030662027

PATHOLOGIC QUIZ CASE 1  John T. Bickmore, MD, Dayton, OhioA nine-year-old girl gave a history of repeated upper respiratory infections usually accompanied by fever and sore throat. In January 1965 she developed a right middle ear effusion, complicated by hypertrophic tonsils and adenoids. The examination also revealed that the right tonsil appeared to be considerably larger than the left. An adenotonsillectomy and myringotomy were advised.In February 1965, the tonsils were removed and were found to be equal in size. The apparent discrepancy was caused by a mass lateral to the tonsil which pushed it toward the midline. Palpation revealed a firm, rounded mass filling the tonsillar fossa. An incision was made through the superior constrictor muscle and buccopharyngeal fascia and a solid tumor was encountered. It was biopsied (Fig 1).

PATHOLOGIC QUIZ CASE 2  Hector J. Seda, MD, Oklahoma CityA 63-year-old woman was hospitalized with a history

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