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  Vol. 134 No. 3, March 2008 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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 •Endocrine Diseases
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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.

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

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.
Figure 1.


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]


RELATED ARTICLE

Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(3):335.
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