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Pathology Quiz Case 2
Deborah J. Chute, MD;
Jamie Shutter, MD;
Stacey E. Mills, MD
University of Virginia Health System, Charlottesville
Arch Otolaryngol Head Neck Surg. 2007;133(3):303.
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A 26-year-old woman with no significant medical history presented with symptoms of chronic tonsillitis. A decision was made to perform a tonsillectomy. Intraoperatively, the surgeon identified a 4 x 3-cm soft tissue mass in the left retrotonsillar fossa. A resection was performed, and multiple fragments of yellow-tan soft tissue and blood clot, measuring 7.9 x 7.5 x 2.6 cm in aggregate, along with a grossly unremarkable ipsilateral tonsil, measuring 2.5 x 1.9 x 1.2 cm, were received. Microscopically, the lesion consisted of a partially encapsulated proliferation of multivacuolated lipoblasts with prominent nuclear atypia (Figure 1 and Figure 2). Foci of epithelioid cells with eosinophillic cytoplasm and prominent nucleoli were interspersed between the lipoblasts (Figure 3). Focal tumor necrosis was present. On average, 9 mitotic figures per 10 high-power fields were identified. An immunohistochemical stain was . . . [Full Text of this Article]
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Pathology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(3):305.
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