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Arch Otolaryngol Head Neck Surg. 1992;118(10):1128-1131.

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Pathologic Quiz Case 1

Theda C. Kontis, MD; Andrew Goldstone, MD; Mark Brown, MD; Gerson Paull, MD, Baltimore, Md

A healthy 18-year-old man presented with a 2-week history of swelling of his right pinna. There was no history of trauma to the auricle. He had been seen as an outpatient by another physician who had prescribed cephalexin (Keflex), without resolution of the swelling. His medical history was significant only for an identical lesion of the same ear 2 years ago, which had been excised.

Physical examination revealed a 2x3-cm fluctuant lesion of the scaphoid fossa of the right auricle (Fig 1). The lesion was minimally tender and mildly erythematous.

At surgery, the lesion appeared to be an intracartilaginous cavity filled with a yellow fluid (Fig 2). There was no evidence of infection. Histopathologic examination revealed cleavage planes of cartilage with central granulation tissue (Fig 3).

What is your diagnosis?

Pathologic . . . [Full Text PDF of this Article]

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