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June 1972

The Resident's Page

Author Affiliations

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

Arch Otolaryngol. 1972;95(6):584-587. doi:10.1001/archotol.1972.00770080874016

PATHOLOGIC QUIZ CASE 1  Philip L. Martin, MD, Anchorage, AlaskaA 34-year-old Eskimo woman had had a slowly enlarging parotid mass on the right side for one year. She denied experiencing facial pain, weakness, or numbness during this length of time. She also denied experiencing ocular or oval dryness. She did relate a history of pulmonary tuberculosis 13 years previously. Physical examination demonstrated a firm, movable, nontender, 2×3 cm mass in the superficial portion of the right parotid. Shotty cervical adenopathy was present bilaterally. There was no evidence of xerophthalmia or xerostomia. Results of a nasopharyngeal examination were normal. A sialogram depicted the parotid mass. Ductal architecture was medially and inferiorly displaced. At surgery, an easily dissectable mass was excised from the superficial portion of the parotid (Fig 1 to 3). Peripheral branches of the facial nerve were not involved in this lesion. A contiguous lymph node was taken with

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