PATHOLOGIC QUIZ CASE 1
Jaime Bitran, MD, Richard Newman, MD, Houston
A 35-year-old man had a four-year history of pain in the left side of the neck for which he had undergone several treatments, including local injections of anesthetics and steroids. A biopsy of a mass found in the left side of the neck had been performed previously, and the light microscopic study on the hematoxylin-eosin stain showed poorly differentiated squamous cell carcinoma in soft tissue adjacent to a lymph node.On physical examination, there was induration in the operative site but no discrete mass. The whole left trapezius muscle was indurated, contracted, rigid, and could not be separated from prevertebral muscles. Under general anesthesia, an examination was done, and multiple biopsies of Waldeyer's throat ring were performed. No abnormality was encountered. Open biopsy of the left side of the neck indicated a firm, yellow-gray irregular mass extending approximately from
FECHNER RE. Resident's Page. Arch Otolaryngol. 1980;106(10):652–654. doi:10.1001/archotol.1980.00790340060016
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