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March 1989

Resident's Page

Arch Otolaryngol Head Neck Surg. 1989;115(3):390-393. doi:10.1001/archotol.1989.01860270132031

PATHOLOGIC QUIZ CASE 1  Oakley Smith, MD; Jon Irish, MD; Peter Van Nostrand, MD, FRCPC, TorontoA healthy 35-year-old man presented with a one-year history of progressive hoarseness. He was in good health, without any history of illness. The findings of a systemic examination were normal. Laryngeal examination disclosed a submucosal lesion causing fullness of the left false vocal cord. Results of the remainder of the head and neck examination were normal. An excisional biopsy specimen was obtained. A representative photo-micrograph of the biopsy specimen is shown in Fig 1. Electron microscopy of the biopsy is illustrated in Fig 2.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  Moises A. Arriaga, MD, Craig S. Derkay, MD, PittsburghA 29-year-old sexually active homosexual white man presented with a two-month history of bleeding from his oral cavity. Over the previous month he had developed multiple violaceous and raised lesions on