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August 1991

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1991;117(8):926-929. doi:10.1001/archotol.1991.01870200120021

PATHOLOGIC QUIZ CASE 1  Yoav P. Talmi, MD; Rivkah Gal, MD; Yehuda Finkelstein, MD; Ytzhak Shvilli, MD; Yuval Zohar, MD, DDS, Petah Tikvah, IsraelA 75-year-old woman was admitted to our ear, nose, and throat department for evaluation of a painless tumor of the posterolateral aspect of her tongue, first noticed by her dentist 2 weeks previously. The lesion was 1 × 1.5 × 0.5 cm in diameter, firm, non-tender, and covered with normal-appearing mucosa (Fig 1). Induration of the periphery of the tumor was noticed, and malignancy could not be ruled out. No other abnormality was seen, and the patient underwent an excisional biopsy under local anesthesia. A frozen section of the specimen was diagnosed as a benign soft-tissue tumor. Histologic examination revealed a tumor well delineated from the surrounding striated muscle of the tongue (Fig 2, hematoxylin-eosin, X25). Histologic studies demonstrated the findings in Fig 3

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