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May 1988

Resident's Pages

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1988;114(5):570-577. doi:10.1001/archotol.1988.01860170100029

PATHOLOGIC QUIZ CASE 1  David W. Eisele, MD, Ernest A. Weymuller, Jr, MD, SeattleA 29-year-old man noted progressive enlargement of an intraoral mass over a period of several months. The patient denied pain, hoarseness, respiratory difficulty, or other symptoms related to the head and neck.On physical examination a cauliflowerlike mass, 5 mm in diameter, was noted on the ventral surface of the tongue. The mass was nontender and nonfriable. Results of the remainder of the head and neck examination were within normal limits.An excisional biopsy of the mass was performed using local anesthesia. Photomicrographs of the surgical specimen are shown in Figs 1 and 2.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  Jennifer F. Madison, MD, Henry F. Frierson, Jr, MD, Charlottesville, VaA 63-year-old man had a painful lump on his tongue for two months. He was a heavy smoker and drank an occasional alcoholic