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March 1985

Resident's Page

Arch Otolaryngol. 1985;111(3):204-207. doi:10.1001/archotol.1985.00800050098016


Raja A. Atiyah, MD; Carl F. Wurster, MD; Mark A. Fritsch, MD; George A. Sisson, MD; Chicago  A 68-year-old woman had a left parotid mass that had been present for 25 years but had begun enlarging over the previous three months. Pertinent medical history included a low-dose radiation treatment to the head and neck area during childhood for "enlarged paratracheal lymph glands," a benign breast mass removed in 1939, and the diagnosis of polymyositis treated since 1977, with prednisone and azathioprine.On examination, the patient had a 3 × 3-cm left tail of parotid mass that was nontender and mobile. The facial nerve was intact in all divisions. The remainder of the head and neck examination results were normal, and the general physical findings were unremarkable.The patient underwent a left superficial parotidectomy. The tumor in the superficial lobe was removed in toto; its microscopic appearance