[Skip to Content]
[Skip to Content Landing]
July 1988

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1988;114(7):804-807. doi:10.1001/archotol.1988.01860190108035

PATHOLOGIC QUIZ CASE 1  Michael B. Tom, MD, Los AngelesA 30-year-old man presented to the emergency room with a five-day history of progressive neck swelling, pain, and fever. He admitted to intravenous drug abuse, and tried to inject crushed methylphenidate (Ritalin) tablets into his right jugular vein five days prior to admission. He has mild odynophagia, but no respiratory distress.His temperature was 38°C (101.6 F). Oral cavity, oropharynx, and larynx were normal on examination. There was marked swelling of the anterior triangle of the right neck, approximately 10 × 8 cm, with mild fluctuance and warmth.The patient was taken to the operating room for surgery. The tissue illustrated in Figs 1 through 4 was obtained.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  Morad Tavallali, MD; Moacyr Silva, MD; Leo Wolansky, MD, New YorkA 16-year-old girl presented with a one-week history of progressive dysphagia, dysphonia,