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July 1989

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1989;115(7):878-881. doi:10.1001/archotol.1989.01860310116036

PATHOLOGIC QUIZ CASE 1  LCDR Jeanne M. Rushin, MC, USN, LCDR Mark W. Flick, MC, USNR, Oakland, CalifA 61-year-old woman presented to the ear, nose, and throat clinic with a left cheek swelling that had recently enlarged in size. The patient stated that the mass had been present for the past 12 years and had remained stable in size until approximately two years ago, when it gradually began enlarging. Over the past few months, the mass had become more tender and painful to the patient. Findings of biopsy of the mass in 1978 at another institution were interpreted as lymphangioma.Physical examination revealed a mass, approximately 5 cm in diameter, within the left cheek. The mass became firmer to palpation when the patient clenched her teeth. A computed tomographic scan demonstrated a bilobed mass beneath or involving the masseter muscle (Fig 1). A fine-needle aspiration biopsy (FNAB) of the

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