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A Dark Pigmented Spot in the Nasopharynx

A Dark Pigmented Spot in the Nasopharynx A man in his 60s with a history of hyperlipidemia, gout, and sleep apnea was seen an incidental finding of a left torus tubarius, blackish, mucosal lesion. He had no nasal obstruction, nasal bleeding, or feeling of aural fullness. Fibroscopic evaluation revealed a black nevus–like lesion over the left torus tubarius, without surface necrosis or signs of bleeding. Microscopy revealed small mixed serous and mucinous glands, normal respiratory epithelia with marked oncocytic cell changes, and abundant eosinophilic granular cytoplasm arranged in a tubular and microcystic pattern. What is the diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

A Dark Pigmented Spot in the Nasopharynx

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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2015.0670
pmid
25950753
Publisher site
See Article on Publisher Site

Abstract

A man in his 60s with a history of hyperlipidemia, gout, and sleep apnea was seen an incidental finding of a left torus tubarius, blackish, mucosal lesion. He had no nasal obstruction, nasal bleeding, or feeling of aural fullness. Fibroscopic evaluation revealed a black nevus–like lesion over the left torus tubarius, without surface necrosis or signs of bleeding. Microscopy revealed small mixed serous and mucinous glands, normal respiratory epithelia with marked oncocytic cell changes, and abundant eosinophilic granular cytoplasm arranged in a tubular and microcystic pattern. What is the diagnosis?

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jul 1, 2015

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