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June 1992

Resident's Page

Author Affiliations

Augusta, Ga

Arch Otolaryngol Head Neck Surg. 1992;118(6):664-667. doi:10.1001/archotol.1992.01880060114025

Pathologic Quiz Case 1  A 35-year-old black woman with no known chronic medical illnesses presented with the complaints of right facial numbness, facial spasms, and dysphagia, which had increased in severity over a 2-month interval. She denied weight loss, odynophagia, recent upper respiratory infection, and fever. She gave no history of regular tobacco or alcohol use.Physical examination revealed deviation of the right tonsil toward the midline. Palpation of the right peritonsillar region revealed a hard, dense mass in close association with the tonsil. The left tonsil appeared normal, and there was no inflammation in either side of the oropharynx. No adenopathy or parotid masses were detected. Correlation of physical findings to the patient's neurologic complaints was inconsistent. The findings of the remainder of the physical examination were normal.A magnetic resonance imaging study was obtained. The axial image (Fig 1) demonstrated an opaque, well-circumscribed, 2.5 × 3.5-cm mass in