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Pathology Quiz Case 1
William D. Frazier, MD;
Nilesh P. Patel, MD;
Christopher A. Sullivan, MD
Wake Forest University School of Medicine, Winston-Salem, North Carolina
Arch Otolaryngol Head Neck Surg. 2008;134(3):333.
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A 59-year-old woman presented with a 6-month history of a painless sensation of mild airway compression and a right-sided neck mass. Contrast-enhanced computed tomography demonstrated a well-circumscribed, right-sided, level IV nonenhancing mass (Figure 1) and a smaller mass abutting the thyroid gland (not shown). A diagnosis of branchial cleft cyst was made, and the patient underwent excision and thyroid biopsy. The pathology report identified a well-differentiated squamous cell carcinoma, and the thyroid specimen was noted to have squamous metaplasia. The patient was subsequently referred for evaluation and definitive management.
Figure appears in full text version.
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A head and neck examination revealed no lesions. Fiberoptic laryngoscopic examination demonstrated normal vocal cord mobility. There were no palpable thyroid masses or adenopathy in the neck. A second infused computed tomogram of the neck revealed a 2-cm hypoattenuating mass associated with the superior aspect . . . [Full Text of this Article]
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Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(3):335.
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