Head & Neck/Endocrine Pathology
Tuesday, March 20, 2012, 7:30 PM
Convention Centre 211-214
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Diagnostically Challenging Cases
Beth Israel Med Ctr
New York, NY
In accordance with ACCME guidelines regarding disclosure, the USCAP policy requires that faculty members who have a significant financial or other relationship with a commercial company, entity, or service (which will be discussed in this Symposium) must disclose this to attendees. The Academy also requires that speakers disclose any products that are not labeled for the use under discussion. The speakers listed below have indicated they have nothing to disclose.
Zubair W. Baloch, Hospital of Univ of PA, Philadelphia, PA
Kenneth W. Berean, UBC Hospital, Vancouver, BC, Canada
Vania Nose, University of Miami School of Medicine, Miami, FL
Beverly Y. Wang, New York Univ/Medicine, New York, NY
Clinical histories are displayed below.
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Submitted by: Zubair W. Baloch -
Hospital of Univ of PA, Philadelphia, PA
A 32-year old, previously healthy woman presented with a right upper neck mass. She first noted the mass after an episode of sinusitis. Her initial visit to a local otolaryngologist was negative for dysphagia, hoarseness, neck pain, sore throat, or weight loss. The patient’s social history was significant for smoking a half a pack per day for 12 years, with cessation of cigarette smoking in 2007. During the initial physical exam, a single mass, located deep to the sternocleidomastoid and measuring approximately 2.0 x 2.0 cm, was appreciated during palpation of the right upper neck. The mass was non- tender, and no abnormalities in the overlying skin were noted. CT scan of the neck indicated the presence of an ovoid mass, measuring 1.3 x 1.0 cm, located deep to right thyroid lobe. Right paratracheal lymphadenopathy, measuring 1.5 x 1.3 cm, was also appreciated. The patient underwent ultrasound-guided FNA followed by total thyroidectomy.
Elevated serum TSH of 8.7 and decreased serum free T4 of 0.53
Submitted by: Kenneth W. Berean -
UBC Hospital, Vancouver, BC, Canada
46 year old woman who noted a “pea-sized” lump on the left buccal mucosa. There had been some fluctuation in size over the previous few months. Examination showed no evidence of cervical lymphadenopathy. No other abnormalities were evident in the oral cavity or oropharynx. An excisional biopsy was undertaken.
Submitted by: Vania Nose -
University of Miami School of Medicine, Miami, FL
59-year-old female had upper mediastinal radiation as a child for a prominent thymus and thyroidectomy, presented with difficulty in breathing when lying down for about 4 months. Nasal cavity, nasopharynx, hypopharynx, and larynx are normal. Both vocal cords are fully mobile. There is a 3 cm mass over the anterior trachea. CT scan shows a tumor that is erosive into the left aspect of the anterior trachea below the vocal cords. There is 50% occlusion of the traches. There is no palpable adenopathy. Laryngoscopy with biopsy of the tracheal mass was performed.
Submitted by: Beverly Y. Wang -
New York Univ/Medicine, New York, NY
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