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September 1987

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1987;113(9):1000-1003. doi:10.1001/archotol.1987.01860090098029

PATHOLOGIC QUIZ CASE 1  Joseph D. Stokes, MD, Youn W. Park, MD, Rootstown, OhioA 68-year-old man presented with a six-year history of bilateral mass of the parotid gland and neck. He denied any pain, tenderness, dysphagia, or hoarseness. He admitted to drinking a six-pack of beer per day and smoking approximately one pack of cigarettes per day.Physical examination revealed a large mass extending from the parotid gland into the midportion of the neck (Fig 1) that was firm, multinodular, and nontender on the right side. A similar but less extensive mass was also present on the left side. Secretion of the salivary gland through Stensen's duct was minimal bilaterally. No facial nerve paralysis or trismus was noted.Right parotidectomy with upper neck mass excision was performed, with the histopathology found in Figs 2 and 3. Excision of the left-side neck mass was done at a later date.What

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