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  Vol. 132 No. 2, February 2006 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case 2

Taha Z. Shipchandler, MD; Lee M. Akst, MD; David Greene, MD; Michael Henry, MD
Cleveland Clinic Foundation, Cleveland, Ohio (Drs Shipchandler and Akst), and Cleveland Clinic Foundation, Naples, Fla (Drs Greene and Henry)

Arch Otolaryngol Head Neck Surg. 2006;132:221.

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

A 73-year-old man presented with a 12-year history of a slowly enlarging mass on the left side of the mobile tongue. He had no decrease in tongue mobility, no change in taste, and no pain or other associated symptoms. On physical examination, the lesion appeared submucosal, with the overlying mucosa showing marked attenuation. There was no erythema, ulceration, or necrosis of the tongue or lesion.

The lesion, which measured 2.0 x 1.5 x 1.0 cm on gross inspection (Figure 1), was firm to palpation, without elicited pain or tenderness. It was excised en bloc. Histologic examination showed a well-circumscribed lesion within the musculature of the tongue, extending to the lateral margins (Figure 2). The overlying mucosa was normal. The lesion consisted of mature adipose cells in a fibrous matrix. High-power magnification showed . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2006;132(2):223.
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