[Skip to Content]
[Skip to Content Landing]
April 1989

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1989;115(4):524-527. doi:10.1001/archotol.1989.01860280122032

PATHOLOGIC QUIZ CASE 1  Jed A. Kwartler, MD, Anjali Limaye, MD, Newark, NJA 36-year-old man presented with a nontender, indurated, nondraining mass in the left submandibular area of three weeks' duration. His history was significant for cigarette smoking and intravenous drug abuse. He denied any history of blunt trauma to the area, but did admit to attempted drug injections in the region of the mass. He denied any recent dental work.Physical examination revealed a 6 × 4-cm firm, nontender, left submandibular mass. Oral examination did not demonstrate any mucosal lesions, and the dentition appeared intact. Clear saliva could be milked from Wharton's duct. An aspiration biopsy was performed and revealed the mass to be cystic. A large amount of foul-smelling purulent material was evacuated and was sent for culture and cytologic examination.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  Howard K. Nam, MD; Miriam L. Christ, MD;