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August 1997


Arch Otolaryngol Head Neck Surg. 1997;123(8):880-884. doi:10.1001/archotol.1997.01900080114015

Pathologic Quiz Case 1  William R. Reisacher, MD; Robert L. Pincus, MD; New York, NYA 39-year-old, human immunodeficiency virus (HIV)–positive, Hispanic woman presented with a 2-day history of shortness of breath, pleuritic chest pain, and a dry cough. Her CD4+ T-cell count was 0.01×109/L (10/μL), and her only opportunistic infections were cryptococcal meningitis and cytomegalovirus esophagitis. At admission, the patient was noted to have a neck mass, approximately 1 to 2 cm in diameter, in the right side of her neck. During the first few days of her hospital stay, the neck mass was noted to be enlarging, and the ear, nose, and throat department was consulted.Physical examination revealed a soft, nontender lymph node, 2 to 3 cm in diameter, in the right jugulodigastric chain. No other lymphadenopathy was noted at this time, and the findings of the rest of the head and neck examination were

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