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December 1986

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1986;112(12):1296-1299. doi:10.1001/archotol.1986.03780120060012

PATHOLOGIC QUIZ CASE 1  CPT Lawrence P. A. Burgess, MC, USA, Tripler Army Medical Center, HonoluluA 15-year-old boy presented with a four-month history of low-grade fevers and painless, bilateral, cervical lymphadenopathy. These large (6 to 10 cm) lymph nodes were nontender and generally were confined to the submaxillary and jugulodigastric regions. The remainder of the head and neck examination results were normal.Laboratory evaluation revealed an elevated erythrocyte sedimentation rate and hypergammaglobulinemia. An incisional biopsy of one of the involved cervical nodes was accomplished. Sections from this are shown in Figs 1 through 4.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  Margaret Brandwein, MD, Mark J. Shikowitz, MD, New Hyde Park, NYA 3-year-old boy presented with a 2 × 2-cm cystic mass in the left portion of the floor of the mouth. The mass had been present since birth and had slowly increased in size until one