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Kevin S. Emerick, MD; Arpita Mehta, MS; Benjamin Z. Pilch, MD; Daniel G. Deschler, MD; Paul M. Busse, MD; James W. Rocco, MD, PhD
Massachusetts Eye and Ear Infirmary (Drs Emerick, Deschler, and Rocco) and Massachusetts General Hospital (Drs Pilch, Busse, and Rocco), Boston, and University of Pittsburgh, Pittsburgh, Pa (Ms Mehta)

Arch Otolaryngol Head Neck Surg. 2005;131:1120.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 40-year-old Haitian man presented with a 1-year history of a slowly growing lesion in his left tonsil. He stated that he had dysphagia and odynophagia that had worsened in recent weeks. He denied any related personal or familial medical history as well as the use of alcohol, tobacco, or recreational drugs.

Physical examination revealed a 5-cm soft tissue mass centered in the left tonsillar fossa. The results of the rest of the head and neck examination were unremarkable. There were no signs or symptoms of deep muscle invasion, such as trismus. Computed tomography and magnetic resonance imaging showed a 5-cm lesion abutting but not invading the mandible (Figure 1). There was no evidence of significant cervical lymphadenopathy. The clinical diagnosis was a malignant . . . [Full Text of this Article]

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