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2015 Annual Meeting
Evening Specialty Conference - Head and Neck/Endocrine Pathology
Monday, March 23, 2015 - 7:30pm to 9:30pm
CC Ballroom A
Clinical histories are printed below. For the fastest viewing of virtual slides, click:

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Clinical Summary:

9 year old healthy female presented with one month history of a tongue mass. Her mother noted the mass after her daughter bit her tongue and there was a lot of bleeding. Over the course of a month the mass continued to grow and rapidly enlarge. No significant contributing history.

Otolaryngology referral:

– large, ulcerated mass located on mid-glossal area

– CT:

• contrast enhanced: intensely enhancing mass measuring 3.3cm in greatest axial dimension and 4cm in craniocaudal span

• repeat non-contrast enhanced: isodense

– Biopsy was performed.

Lingual mass
Lingual mass
CT with contrast 1
CT with contrast 1
CT with contrast 2
CT with contrast 2
Low magnification
Low magnification








Case title: A carcinoma by "INI" other name
Clinical Summary:

The patient is a 44 year old African American man who presented to his physician complaining of eye swelling and tearing as well as nasal obstruction.  A CT scan revealed a 3.7 cm tumor centered in the left ethmoid sinus and extending into the nasal cavity. A biopsy was obtained.     

Figure 1.
Figure 1.




Case title: Two cases of thyroid nodules
Clinical Summary:

Case 3a. The patient is a 49 year-old man who was incidentally found to have a 1.6 cm thyroid nodule.  A fine needle aspiration was performed and interpreted as atypia of undetermined significance.  A second fine needle aspiration was performed several months later and diagnosed as suspicious for a follicular neoplasm.  A diagnostic lobectomy was performed.

 

Case 3b.  The patient is a 65 year-old woman who was found to have goiter on physical exam.  The fine needle aspiration diagnosis of one of the nodules was suspicious for papillary thyroid carcinoma.  A total thyroidectomy was performed.

Case 3a - slide 1
Case 3a - slide 1
Case 3a - slide 2
Case 3a - slide 2
Case 3a - slide 3
Case 3a - slide 3
Case 3b- slide1
Case 3b- slide1
Case 3b - slide 2
Case 3b - slide 2
Case 3b - slide 3
Case 3b - slide 3
Case 3b - slide 4
Case 3b - slide 4
Case title: Circumscribed mass in aryepiglottic fold of the larynx
Clinical Summary:

The patient is a 70 year-old woman who has experienced increasing hoarseness with one year´s duration. On palpation no tenderness was found in the neck. In laryngological examination a 15 mm tumorous mass was revealed in the left aryepiglottic fold. In magnetic resonance imaging, the laryngeal tumor showed smooth contours, while the rest of the neck was unremarkable. No tumorous masses were detected in the parotid, submandibular or sublingual glands. Inspection of oral cavity and hypopharynx did not disclose any tumors.

A pericapsular resection of the laryngeal tumor was carried out.