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  Vol. 135 No. 6, June 2009 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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 •Infectious Diseases, Other
 •Pathology of Head & Neck
 •Pediatric Otolaryngology
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Pathology Quiz Case 1

Jeffrey D. Suh, MD; Claudia F. Kirsch, MD; Sharon L. Hirschowitz, MD; Marilene B. Wang, MD
University of California, Los Angeles

Arch Otolaryngol Head Neck Surg. 2009;135(6):616.

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

A 14-year-old boy presented with a 1-month history of a rapidly enlarging left-sided facial mass and progressive trismus. There was no significant tenderness to palpation. His medical and family histories were otherwise unremarkable, and a review of systems was noncontributory. There was no evidence of cranial nerve dysfunction, fever, cough, or headaches. A contrast-enhanced computed tomographic scan revealed a 4.4 x 4.2-cm heterogeneous mass with both solid and cystic components in the left infratemporal fossa and masticator space. There was osseous erosion of the mandibular condyle, coronoid process, and portions of the ramus to the left angle of the mandible (Figure 1). Plain film evaluation of the chest showed no evidence of pulmonary disease.


 
Figure appears in full text version.
Figure 1.


A fine-needle aspiration biopsy was performed. A Papanicolaou stain demonstrated numerous spheres with thick, double-contoured walls . . . [Full Text of this Article]



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