PATHOLOGIC QUIZ CASE 1
Charles M. Myer III, MD; Gale W. Miller, MD; Carl A. Bixel, Cincinnati
A 23-year-old man was referred to one of us (G.W.M.) when an abnormal otoscopic examination finding was noted during a physical diagnosis course. Physical examination revealed a flesh-colored, nonpulsating mass filling the left middle-ear space and extending into the attic. There was no distortion of the malleus and the tumor did not extend to the annulus of the tympanic membrane, except in the posterior-superior quadrant. The remainder of the head and neck examination findings were normal.The patient's only symptom had been pulsatile tinnitus of approximately six weeks' duration. There were no complaints of otorrhea, otalgia, hearing loss, or vertigo. Audiometrics disclosed normal hearing bilaterally with excellent speech discrimination. The tympanogram demonstrated low normal compliance on the left with an absent acoustic reflex at 2,000 Hz. There was no pulsation noted on
FECHNER RE. Resident's Page. Arch Otolaryngol. 1984;110(4):274–277. doi:10.1001/archotol.1984.00800300066015
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