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  Vol. 134 No. 9, September 2008 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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 •Neoplasms of Head & Neck
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Pathology Quiz Case 1

Ryan Winters, BS; Krzysztof Moroz, MD; Paul Friedlander, MD
University of Vermont College of Medicine, Burlington (Mr Winters), and Tulane University, New Orleans, Louisiana (Drs Moroz and Friedlander)

Arch Otolaryngol Head Neck Surg. 2008;134(9):1012.

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

A 45-year-old man presented with a 2-week history of an asymptomatic mass of the left parotid gland. He had no history of tobacco or alcohol abuse. A firm nodule was palpable immediately posterior and superficial to the angle of the left mandible on physical examination. A detailed neurologic examination revealed cranial nerves II through VII to be intact and symmetrical. Magnetic resonance imaging demonstrated a well-circumscribed nodule, measuring 2.6 cm in greatest dimension, in the superficial lobe of the left parotid gland (Figure 1, coronal gadolinium-enhanced T1-weighted image; Figure 2, coronal T2-weighted image), and the findings of fine-needle aspiration of the mass were consistent with a spindle cell neoplasm.


 
Figure appears in full text version.
Figure 1.



 
Figure appears in full text version.
Figure 2.


The patient was taken to the operating room for a planned superficial parotidectomy, and assiduous dissection of the upper and lower branches of the facial . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(9):1014.
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