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February 1971

The Resident's Page

Author Affiliations

1721 Pine St, Philadelphia 19103; The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1971;93(2):216-219. doi:10.1001/archotol.1971.00770060302023

PATHOLOGIC QUIZ CASE 1  Robert E. Fechner, MD, HoustonThe mother of a 9-year-old boy noticed a swelling in front of his left ear. This gradually enlarged during the next three weeks but was asymptomatic. On physical examination, a 3-cm slightly movable nontender mass was palpable in the subcutaneous tissue just over the mastoid bone and extending inferiorly. No other masses were palpable in the neck and his otolaryngic examination disclosed no abnormality. Results of the remainder of the physical examination were unremarkable. Results of a peripheral blood count and a chest roentgenogram were normal. An incisional biopsy was done. At surgery the tumor was rubbery, white, and homogenous (Fig 1 and 2).

PATHOLOGIC QUIZ CASE 2  John R. Grant, MD, and Donald P. Vrabec, MD, Danville, PaA 74-year-old miner complained of persistent hoarseness of one years' duration associated with progressive dysphagia, a tendency to aspirate when swallowing liquids,

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