[Skip to Navigation]
Article
January 1975

Resident's Page

Author Affiliations

The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1975;101(1):76-78. doi:10.1001/archotol.1975.00780300080021
Abstract

PATHOLOGIC QUIZ CASE 1 

Paul I. Wills, MD, Robert E. Fechner, MD, Houston  A 48-year-old black man had a fourweek history of a "soreness" of his hard palate and had noted an ulcer of this area for two weeks. There was a history of heavy ethanol ingestion and a 20-year history of cigarette smoking. Physical examination revealed a tender symmetrical 3.0×3.5 cm palatal ulceration filled with necrotic debris (Fig 1). There was no palpable bony defect and there were no masses palpable in the neck. Radiographs of maxilla, paranasal sinuses, and base of skull failed to reveal evidence of bony destruction. Biopsy resulted in the following material (Fig 2 to 4). What is the pathologic diagnosis? What treatment is indicated for this lesion?

PATHOLOGIC QUIZ CASE 2 

Paul I. Wills, MD, Robert E. Fechner, MD, Houston  This 65-year-old white man had a four-month history of a painless mass

×