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June 1971

The Resident's Page

Author Affiliations

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

Arch Otolaryngol. 1971;93(6):634-637. doi:10.1001/archotol.1971.00770060936018

PATHOLOGIC QUIZ CASE  Robert E. Fechner, MD, and Herman E. Warshaw, MD, HoustonA 67-year-old woman was referred to the otolaryngologist after an episode of a nausea and vomiting which ceased after a few days. At the time of examination, a papillomatous tumor occupied the left lateral pharyngeal wall and the left posterior tonsillar pillar. The patient had not been aware of the lesion. It measured 4.5 cm in superior-inferior dimension and 2.5 cm in width. The mucosa was not fixed and, aside from the surface lesion, no deeper mass was palpable. There was no cervical adenopathy. Clinically, the lesion was thought to be an unusually large squamous papilloma. At the time of surgery, the tumor was pulled anteriorly and medially providing a broad pedicle of mucosa which was cut with scissors. The base of the wound was cauterized. No infiltration was evident.In Fig 1, the darker area of

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