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Resident's Page Abstract PATHOLOGIC QUIZ Philip F. Anthony, MD, Marcella Klima, MD, Houston A 58-year-old man had a history of "sinus trouble" for five years prior to facial congestion and intermittent, bilateral anterior, mild facial discomfort. Four years prior to admission, the patient had undergone a maxillary molar extraction on the right side with oro-antral fistula formation that was closed surgically. Two years prior to presentation, the patient began to note progressive weakness and, one week before his original examination, he noted rhinorrhea (clear), increased postnasal drip without nasal obstruction, epistaxis, or facial pain. He denied smoking or significant alcohol intake, but he had postnecrotic cirrhosis.Physical examination disclosed clear mucus in his nostrils bilaterally, a 2 × 2 × 1-cm, smooth, nonulcerated, sessile swelling in the superior lateral portion of the right side of the nasopharynx. There was no serous otitis media nor was there any cervical, axillary, inguinal, or epitrochlear References 1. Lichtiger B, Mackay B, Tessmer CF: Spindle-cell variants of squamous cell carcinoma . Cancer 26:1311-1316, 1970.Crossref 2. Liefer C, Miller AS, Putong PB, et al: Spindle-cell of the oral mucosa . Cancer 34:597-605, 1974.Crossref 3. Svoboda DJ, Kirchner SR, Shanmugaratnam K: The Fine Structure of Nasopharyngeal Carcinomas . UICC Monograph Series No. 1, Copenhagen, Munksgaard, 1967, pp 163-171. 4. Lin H, Lin C, Yeh S, et al: Fine structure of nasopharyngeal carcinoma with special reference to the anaplastic type . Cancer 23:390-405, 1967.Crossref 5. Prasad U: Cells of origin of nasopharyngeal carcinoma: An electron microscopic study . J Laryngol Otol 88:1087-1094, 1974.Crossref 6. Mori Y, Lennert K: Electron Microscopic Atlas of Lymph Node Cytology and Pathology , Kuchemann K (trans-ed). New York, Springer-Verlag, 1969, pp 4-44. 7. Svoboda DJ: Pathologic classification and fine structure of carcinoma of the nasopharynx . JAMA 220:394-396, 1972.Crossref 8. Batsakis JG: Tumors of the Head and Neck . Baltimore, Williams & Wilkins Co, 1974, pp 365-369. 9. Fuller LM: Results of intensive regional radiation therapy in the treatment of Hodgkin's disease and the malignant lymphomas of the head and neck . Am J Roentgenol 99:340-351, 1967.Crossref 10. Yam LT, Tauassoli M, Jacobs P: Differential characterization of the "reticulum cell" in lymphoreticular neoplasms . Am J Clin Pathol 64:171-179, 1975. 11. Banfi A, Bonadonna G, Carevali G, et al: Lymphoreticular sarcoma with primary involvement of Waldeyer's ring . Cancer 26:341-351, 1970.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1979.00790180071019
Publisher site
See Article on Publisher Site

Abstract

Abstract PATHOLOGIC QUIZ Philip F. Anthony, MD, Marcella Klima, MD, Houston A 58-year-old man had a history of "sinus trouble" for five years prior to facial congestion and intermittent, bilateral anterior, mild facial discomfort. Four years prior to admission, the patient had undergone a maxillary molar extraction on the right side with oro-antral fistula formation that was closed surgically. Two years prior to presentation, the patient began to note progressive weakness and, one week before his original examination, he noted rhinorrhea (clear), increased postnasal drip without nasal obstruction, epistaxis, or facial pain. He denied smoking or significant alcohol intake, but he had postnecrotic cirrhosis.Physical examination disclosed clear mucus in his nostrils bilaterally, a 2 × 2 × 1-cm, smooth, nonulcerated, sessile swelling in the superior lateral portion of the right side of the nasopharynx. There was no serous otitis media nor was there any cervical, axillary, inguinal, or epitrochlear References 1. Lichtiger B, Mackay B, Tessmer CF: Spindle-cell variants of squamous cell carcinoma . Cancer 26:1311-1316, 1970.Crossref 2. Liefer C, Miller AS, Putong PB, et al: Spindle-cell of the oral mucosa . Cancer 34:597-605, 1974.Crossref 3. Svoboda DJ, Kirchner SR, Shanmugaratnam K: The Fine Structure of Nasopharyngeal Carcinomas . UICC Monograph Series No. 1, Copenhagen, Munksgaard, 1967, pp 163-171. 4. Lin H, Lin C, Yeh S, et al: Fine structure of nasopharyngeal carcinoma with special reference to the anaplastic type . Cancer 23:390-405, 1967.Crossref 5. Prasad U: Cells of origin of nasopharyngeal carcinoma: An electron microscopic study . J Laryngol Otol 88:1087-1094, 1974.Crossref 6. Mori Y, Lennert K: Electron Microscopic Atlas of Lymph Node Cytology and Pathology , Kuchemann K (trans-ed). New York, Springer-Verlag, 1969, pp 4-44. 7. Svoboda DJ: Pathologic classification and fine structure of carcinoma of the nasopharynx . JAMA 220:394-396, 1972.Crossref 8. Batsakis JG: Tumors of the Head and Neck . Baltimore, Williams & Wilkins Co, 1974, pp 365-369. 9. Fuller LM: Results of intensive regional radiation therapy in the treatment of Hodgkin's disease and the malignant lymphomas of the head and neck . Am J Roentgenol 99:340-351, 1967.Crossref 10. Yam LT, Tauassoli M, Jacobs P: Differential characterization of the "reticulum cell" in lymphoreticular neoplasms . Am J Clin Pathol 64:171-179, 1975. 11. Banfi A, Bonadonna G, Carevali G, et al: Lymphoreticular sarcoma with primary involvement of Waldeyer's ring . Cancer 26:341-351, 1970.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jun 1, 1979

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