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May 1977

Resident's Page

Author Affiliations

Baylor College of Medicine and The Methodist Hospital, Houston

Arch Otolaryngol. 1977;103(5):306-309. doi:10.1001/archotol.1977.00780220100016

A 26-year-old woman developed a mass in the midline of her neck anteriorly, approximately nine months prior to admission. The mass appeared suddenly after mild blunt trauma to the area and had displayed moderate swelling and inflammation on one subsequent occasion. The patient is a heroin addict with a history of many local injection-site abscesses. On examination, the mass was 1.5 × 1 cm, was located at the level of the cricothyroid membrane, and was mobile, doughy, and smooth. Thyroid scan revealed a normal-sized gland with a 24-hour uptake of 8%. The uptake of the right lobe was slightly greater than that of the left. Results of thyroid function studies were within normal limits. The mass was excised, and pathologic sections were taken (Fig 1 and 2).

What is your diagnosis?

A 38-year-old woman had a sevenyear history of left-sided nasal obstruction and recurrent left epistaxis. Multiple polypectomies were performed,

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