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Pathology Quiz Case 1
Brian J. Baumgartner, MD;
Vincent D. Eusterman, MD, DDS;
Craig C. Willard, DDS, MS;
Joseph T. Morris, MD
Madigan Army Medical Center, Tacoma, Wash (Drs Baumgartner, Eusterman, and Morris), and Brooke Army Medical Center, San Antonio, Tex (Dr Willard)
Arch Otolaryngol Head Neck Surg. 2004;130:990.
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A 74-year-old white male resident of a long-term care facility presented with a 5-month history of slowly enlarging, bilateral, nonpainful cervical masses. His medical history included chronic paranoid schizophrenia, chronic obstructive pulmonary disease, a remote history of tuberculosis (TB), and a history of cigarette smoking.
Examination revealed a 3 x 2-cm, level 4, right cervical mass and a 3 x 3-cm, level 3, left cervical mass (Figure 1). Both masses were firm, mobile, nontender, and without overlying skin changes. The rest of the head and neck examination revealed no abnormalities other than poor dentition.
Figure appears in full text version.
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Before our evaluation, fine-needle aspiration (FNA) of both cervical masses had demonstrated necrotic cells, multinucleated giant cells, and no malignant cells. The results of the FNA cultures were pending. Subsequent bilateral FNA showed rare . . . [Full Text of this Article]
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Pathology Quiz Case 1—Diagnosis
Arch Otolaryngol Head Neck Surg. 2004;130(8):992-993.
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