PathMD Quizes, Head & Neck Head & Neck – 03 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A mass was found in adjacent to the parotid gland. An excision was performed and representative sections are shown. Based on the findings, what is the best diagnosis? Head & Neck - Part 3, Case #2 Head & Neck - Part 3, Case #2 Head & Neck - Part 3, Case #2Malignant peripheral nerve sheath tumor Neurofibromatosis type 1 FibromatosisNeurofibromatosis type 2 Myxoma 2. A 41 y/o male presents with a nasal obstruction and septal perforation. Multiple biopsies are taken which shows predominately necrosis. Serologic studies are positive for a high c-ANCA titer. Based on these findings, what is the most likely diagnosis?Cocaine abuseWegner’s granulomatosisChurg-Strauss syndrome NK/T cell lymphomaHypercoaguable state with thrombosis 3. All of the following are true with regards to cholesteatomas, EXCEPT:Occur in the middle earUsually occur in the third or fourth decade Collagenase is responsible for destructive properties Is a neoplastic lesion Occur more frequently in men 4. A 40 y/o female presents with a nasal obstruction. A mass is removed from the lateral wall, and representative hisotlogic images are shown. Based on the findings, the best diagnosis is: Head & Neck - Part 3, Case #4 Head & Neck - Part 3, Case #4 Head & Neck - Part 3, Case #4Papillary caricinoma Endophytic Schneiderian papillomaExophytic Schneiderian papilloma Squamous cell carcinomaCylindrical cell papilloma 5. A 30 y/o male is found to have a buccal lesion. An excision was performed and representative images are shown. The best diagnosis is: Head & Neck - Part 3, Case #5 Head & Neck - Part 3, Case #5 Head & Neck - Part 3, Case #5Irritation fibromaSquamous cell carcinoma Hairy leukoplakia Keratosis with mild dysplasia Keloid scar 6. A 50 y/o male presents with a nasal mass, which is excised. Representative images of the lesion are shown. Immunohistochemistry of the lesions shows positivity for CD34. Based on these findings, what is the most likely diagnosis? Head & Neck - Part 3, Case #1 Head & Neck - Part 3, Case #1 Head & Neck - Part 3, Case #1Inflammatory myofibroblastic tumorSolitary fibrous tumor MyofibroblastomaFibromatosisFibrosarcoma 7. A 50 y/o female presents with a parotid mass. Based on representative images of this lesion shown on the website, which of the following is the best diagnosis? Head & Neck - Part 3, Case #6 Head & Neck - Part 3, Case #6 Head & Neck - Part 3, Case #6Salivary duct carcinomaMucoepidermoid carcinomaGranular cell tumorAcinic cell carcinoma Pleomorphic adenoma 8. Which of the following subtypes of nasopharyngeal carcinoma has the best prognosis?Keratinizing nasopharyngeal carcinoma Non-keratinizing nasopharyngeal carcinoma All have the same prognosisBasaloid nasopharyngeal carcinoma 9. All of the following are true about acinic cell carcinoma EXCEPT:>80% 5-year survival rate 6% of salivary gland tumors 80% involve the parotid gland Most common malignant salivary gland tumor in children 35% of cases recur locally 10. A 40 y/o male presents with a parotid mass. Based on the histologic images, the best diagnosis is: Head & Neck - Part 3, Case #3 Head & Neck - Part 3, Case #3 Head & Neck - Part 3, Case #3 Head & Neck - Part 3, Case #3Pleomorphic adenoma MyoepitheliomaAdenoid cystic carcinomaAcinic cell carcinomaMucoepidermoid carcinoma Loading...