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February 1987

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Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1987;113(2):206-209. doi:10.1001/archotol.1987.01860020098022

PATHOLOGIC QUIZ CASE 1  Barry Kimberley, MD; James Cohen, MD, PhD; Irene Posalsky, MD, MinneapolisA 57-year-old man presented with an asymptomatic mass at the anterior midline of the neck. Although the mass had been present for four years, it had only enlarged during the previous four months. There were no symptoms of hoarseness, dysphagia, or weight loss.Physical examination revealed a mass, 4 × 5 cm, in the anterior midline of the neck, overlying the superior aspect of the thyroid cartilage. The thyroid gland was normal to palpation and was separate from the mass. The remaining examination of the head and neck was unremarkable. Aspiration from the mass produced 8 mL of yellow fluid and a reduction in size, but not disappearance of the mass. Histocytologic examination of the fluid revealed malignant cells. A technetium Tc 99m thyroid scan showed no increased uptake by the neck mass itself.At

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