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August 1995


Arch Otolaryngol Head Neck Surg. 1995;121(8):934-937. doi:10.1001/archotol.1995.01890080100020

Pathologic Quiz Case 1  Fanny Mestdagh, MD; Jos Claes, MD, PhD; Eric Van Marck, MD, PhD; Ingrid Neetens, MD; Paul H. Van de Heyning, MD, PhD, Edegem, BelgiumA 38-year-old man presented with a painless mass situated at the left mandibular angle. It may have been present for 2 years and it had recently enlarged. The patient had no specific ear, nose, or throat symptoms. He had stopped smoking about 3 years earlier.On palpation and inspection of the neck, a mass of approximately 2 to 3 cm was noted in the left parotid gland, with no firmness, erythema, or fixation to the overlying skin. Further clinical examination of the head and neck, including complete endoscopy of the nose, nasopharynx, and larynx, revealed no abnormalities, except for a 2-cm scar posterior to the left ear lobule. Inquiry about the retroauricular scar led the patient to remember that he had

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