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RESIDENT'S PAGE: IMAGING

RESIDENT'S PAGE: IMAGING Abstract Imaging Quiz Case 1 Zan Mra, MD, Buffalo, NYA 53-year-old man presented with a 4-month history of a painless mass in the right side of his neck. His medical history was significant for heavy smoking and drinking. Physical examination revealed a 2X2-cm firm, nontender, mobile mass in his right jugulodigastric area. The findings of the rest of his head and neck examination were normal.The findings of fine-needle aspiration were nondiagnostic. A thyroid imaging study was performed witb iodine 123 (Figure I). Computed tomographic (CT) scanning was carried out from the skull base to the clavicles. Figure 2 shows an axial cut through the level of the mass. Panendoscopy did not reveal any primary lesions. The excisional biopsy specimen of tbe mass was stained with hematoxylin-eosin (Figure 3).What is your diagnosis? Imaging Quiz Case 2 Michelle M. Cullen, MD; Gianfranco Toso, MD; Cincinnati, OhioAn 53-year-old References 1. Snyderman C, Johnson JT, Barnes EL. Extraparotid Warthin's tumor . Otolaryngol Head Neck Surg . 1986;94:169-175. 2. Gates GA, Work WP. Radioisotope scanning of the salivary glands . Laryngoscope . 1967;17:861-875.Crossref 3. Higashi T, Shindo J, Everhart FR Jr, et al. Technetium-99m pertechnetate and gallium-67 imaging in salivary gland disease . Clin Nucl Med . 1989;14:504-513.Crossref 4. Weinstein GS, Harvey GS, Zimmer W, et al. Technetium-99m pertechnetate salivary gland imaging . J Nucl Med . 1994;35:179-183. 5. Kosuda S, Gokan T, Tamura K, et al. Radionuclide imaging for parotid oncocytoma . Clin Nucl Med . 1987;12:150-151.Crossref 6. Kosuda S, Ishikawa M, Tamura K, et al. Iodine-131 therapy for parotid oncocytoma . J Nucl Med . 1988;29:1126-1129. 7. Swartz JD, Nunnelly JF, Marlowe FI, et al. Computed tomography for parotid neoplasia: a new look . J Comput Tomogr . 1987;11:239-246.Crossref 8. Rabinov K, Kell T Jr, Gordon PH. CT of the salivary glands . Radiol Clin North Am . 1984;22:145-159. 9. Shugar JMA, Som PM, Jacobson AL, et al. Multicentric parotid cysts and cervical adenopathy in AIDS patients . Laryngoscope . 1988;98:772-775.Crossref 10. Dubin B, Jackson IT, Halim A, et al. Anatomy of the buccal fat pad and its clinical significance . Plast Reconstr Surg . 1989;83:257-264.Crossref 11. Ortiz-Monasterio F. Discussion of craniosynostosis . In: Caronni EP, ed. Craniofacial Surgery . Boston, Mass: Little Brown & Co Inc; 1985. 12. Yano J, Ushijima T, Funasaka S. A case of arteriovenous malformation of the buccal region [in Japanese] . Nippon Jibiinkoka Gakkai Kaiho . 1978;81:1439-1446.Crossref 13. Negrier B, Hadjean T, Brette MD, et al. Approach to the pterygomaxillary region by the LeFort I osteotomy [in French] . Ann Otolaryngol Chir Cervicofac . 14. Rappaport I, Rappaport J. Congenital arteriovenous fistula of the maxillofacial region . Am J Surg . 1977;134:39-46.Crossref 15. Longacre JJ, Benton C, Unterthiner RA. Treatment of a facial hemangioma by intravascular embolization with silicone spheres . Plast Reconstr Surg . 1972; 50:618-621.Crossref 16. Withers Eh, Franklin JD, Lynch JB. Resection of a massive arteriovenous malformation of the head and neck . Plast Reconstr Surg . 1979;63:566-569.Crossref 17. Enzinger FM, Weiss SW. Soft Tissue Tumors . 2nd ed. St Louis, Mo: Mosby–Year Book; 1988:495-502. 18. Gomes MMR, Bernatz PE. Arteriovenous fistulas: a review and ten-year experience at the Mayo Clinic . Mayo Clin Proc . 1970;45:81-85. 19. Juergens JL, Spittell JA Jr, Fairbrairn JF II. Peripheral Vascular Disease . 5th ed. Philadelphia, Pa: WB Saunders Co; 1980:441-447. 20. Deterling RA Jr, Essex HE, Waugh JM. Experimental studies of AV fistula with regard to the development of collateral circulation . Proc Staff Mtg Mayo Clin . 1947;2:495-502. 21. Tung GA, Davis CM. The role of magnetic resonance imaging in the evaluation of the soft tissue mass . Crit Rev Diagn Imaging . 1993;34:239-308. 22. Gomori JM, Grossman RI, Hackney DB, Goldberg HI, Zimmerman RA, Bilaniuk LT. Variable appearences of subacute intracranial hematomas on high field spin echo MR . AJNR Am J Neuroradiol . 1987;8:1019-1026. 23. Thulborn KR, Brady TJ. Iron in magnetic resonance imaging of cerebral hemorrhage . Magn Reson Q . 1989;5:23-28. 24. Lufkin RB, Hanafee WN. MRI of the Head and Neck . New York, NY; Raven Press; 1991:3-6. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1996.01890170102018
Publisher site
See Article on Publisher Site

Abstract

Abstract Imaging Quiz Case 1 Zan Mra, MD, Buffalo, NYA 53-year-old man presented with a 4-month history of a painless mass in the right side of his neck. His medical history was significant for heavy smoking and drinking. Physical examination revealed a 2X2-cm firm, nontender, mobile mass in his right jugulodigastric area. The findings of the rest of his head and neck examination were normal.The findings of fine-needle aspiration were nondiagnostic. A thyroid imaging study was performed witb iodine 123 (Figure I). Computed tomographic (CT) scanning was carried out from the skull base to the clavicles. Figure 2 shows an axial cut through the level of the mass. Panendoscopy did not reveal any primary lesions. The excisional biopsy specimen of tbe mass was stained with hematoxylin-eosin (Figure 3).What is your diagnosis? Imaging Quiz Case 2 Michelle M. Cullen, MD; Gianfranco Toso, MD; Cincinnati, OhioAn 53-year-old References 1. Snyderman C, Johnson JT, Barnes EL. Extraparotid Warthin's tumor . Otolaryngol Head Neck Surg . 1986;94:169-175. 2. Gates GA, Work WP. Radioisotope scanning of the salivary glands . Laryngoscope . 1967;17:861-875.Crossref 3. Higashi T, Shindo J, Everhart FR Jr, et al. Technetium-99m pertechnetate and gallium-67 imaging in salivary gland disease . Clin Nucl Med . 1989;14:504-513.Crossref 4. Weinstein GS, Harvey GS, Zimmer W, et al. Technetium-99m pertechnetate salivary gland imaging . J Nucl Med . 1994;35:179-183. 5. Kosuda S, Gokan T, Tamura K, et al. Radionuclide imaging for parotid oncocytoma . Clin Nucl Med . 1987;12:150-151.Crossref 6. Kosuda S, Ishikawa M, Tamura K, et al. Iodine-131 therapy for parotid oncocytoma . J Nucl Med . 1988;29:1126-1129. 7. Swartz JD, Nunnelly JF, Marlowe FI, et al. Computed tomography for parotid neoplasia: a new look . J Comput Tomogr . 1987;11:239-246.Crossref 8. Rabinov K, Kell T Jr, Gordon PH. CT of the salivary glands . Radiol Clin North Am . 1984;22:145-159. 9. Shugar JMA, Som PM, Jacobson AL, et al. Multicentric parotid cysts and cervical adenopathy in AIDS patients . Laryngoscope . 1988;98:772-775.Crossref 10. Dubin B, Jackson IT, Halim A, et al. Anatomy of the buccal fat pad and its clinical significance . Plast Reconstr Surg . 1989;83:257-264.Crossref 11. Ortiz-Monasterio F. Discussion of craniosynostosis . In: Caronni EP, ed. Craniofacial Surgery . Boston, Mass: Little Brown & Co Inc; 1985. 12. Yano J, Ushijima T, Funasaka S. A case of arteriovenous malformation of the buccal region [in Japanese] . Nippon Jibiinkoka Gakkai Kaiho . 1978;81:1439-1446.Crossref 13. Negrier B, Hadjean T, Brette MD, et al. Approach to the pterygomaxillary region by the LeFort I osteotomy [in French] . Ann Otolaryngol Chir Cervicofac . 14. Rappaport I, Rappaport J. Congenital arteriovenous fistula of the maxillofacial region . Am J Surg . 1977;134:39-46.Crossref 15. Longacre JJ, Benton C, Unterthiner RA. Treatment of a facial hemangioma by intravascular embolization with silicone spheres . Plast Reconstr Surg . 1972; 50:618-621.Crossref 16. Withers Eh, Franklin JD, Lynch JB. Resection of a massive arteriovenous malformation of the head and neck . Plast Reconstr Surg . 1979;63:566-569.Crossref 17. Enzinger FM, Weiss SW. Soft Tissue Tumors . 2nd ed. St Louis, Mo: Mosby–Year Book; 1988:495-502. 18. Gomes MMR, Bernatz PE. Arteriovenous fistulas: a review and ten-year experience at the Mayo Clinic . Mayo Clin Proc . 1970;45:81-85. 19. Juergens JL, Spittell JA Jr, Fairbrairn JF II. Peripheral Vascular Disease . 5th ed. Philadelphia, Pa: WB Saunders Co; 1980:441-447. 20. Deterling RA Jr, Essex HE, Waugh JM. Experimental studies of AV fistula with regard to the development of collateral circulation . Proc Staff Mtg Mayo Clin . 1947;2:495-502. 21. Tung GA, Davis CM. The role of magnetic resonance imaging in the evaluation of the soft tissue mass . Crit Rev Diagn Imaging . 1993;34:239-308. 22. Gomori JM, Grossman RI, Hackney DB, Goldberg HI, Zimmerman RA, Bilaniuk LT. Variable appearences of subacute intracranial hematomas on high field spin echo MR . AJNR Am J Neuroradiol . 1987;8:1019-1026. 23. Thulborn KR, Brady TJ. Iron in magnetic resonance imaging of cerebral hemorrhage . Magn Reson Q . 1989;5:23-28. 24. Lufkin RB, Hanafee WN. MRI of the Head and Neck . New York, NY; Raven Press; 1991:3-6.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: May 1, 1996

References

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