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Article
September 1985

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol. 1985;111(9):634-636. doi:10.1001/archotol.1985.00800110112021
Abstract

PATHOLOGIC QUIZ CASE 1 

Thomas J. Clegg, MD, William D. Clark, DDS, MD, Galveston, Tex  A 3-year-old girl was noted on routine physical examination to have a mass extending into the oropharynx from above (Fig 1). The parents gave no history of nasal obstruction or sinus infection. On physical examination, a 1-cm nonpulsatile, pink mass was seen extending below the soft palate. Roentgenograms of the paranasal sinuses were normal. A roentgenogram of the lateral nasopharynx demonstrated a soft-tissue density behind the uvula in the nasopharynx. A computed tomographic scan of the nasopharynx revealed a mass without intracranial extension or disturbance of the fascial planes. Direct nasopharyngoscopy was performed and the mass was excised. Representative histologic sections are shown (Figs 2 and 3).What is your diagnosis?

PATHOLOGIC QUIZ CASE 2 

Thomas J. Clegg, MD, William D. Clark, DDS, MD  A 14-year-old girl was initially seen by her school nurse because

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