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March 1986

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1986;112(3):336-339. doi:10.1001/archotol.1986.03780030100026

PATHOLOGIC QUIZ CASE 1  Mark B. Austin, MD, Henry F. Frierson, Jr, MD, Charlottesville, VaA 17-year-old girl had a five-day history of pain during swallowing associated with a sensation of fullness in the back of her mouth. There was no history of trauma.On physical examination, the patient was noted to have a 1-cm spherical mass on the left central soft palate. The well-circumscribed hard tumor was covered by an intact mucosa. It was only slightly tender to palpation. The remainder of the physical examination revealed mild pharyngeal and nasal erythema and normal tonsillar tissue.The mass was completely excised. Figures 1 and 2 are representative microscopic sections.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  Peter A. Johnson, MD, Charlottesville, VaA 60-year-old man had a mild nasal obstruction for at least four years; it increased in severity for two years prior to presentation. Physical examination revealed a