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May 1987

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1987;113(5):562-565. doi:10.1001/archotol.1987.01860050108035

PATHOLOGIC QUIZ CASE 1  >James Cohen, MD, PhD; Gene Landon, MD; Robert Byers, MD, HoustonA 4-month-old boy was referred for treatment of a large, rapidly growing cystic mass occupying the majority of his right posterior neck (Fig 1). The child was the product of a normal pregnancy and delivery. The mass had first been noticed when he was 3 days of age, and had enlarged since then. Early needle aspiration of the mass had produced only a small amount of bloody fluid and a very temporary diminution in its size. Ultrasound examination of the mass showed both cystic and solid components with areas of calcification. The child was otherwise healthy and growing normally. Results of all other preoperative tests were within normal limits.In view of the recent rapid growth of the mass, its bulk, and the question of malignancy, surgical excision was undertaken. At the time of surgery,

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