Head & Neck – 04

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1. A red-pink friable nasal polypoid lesion is biopsied in a 45 y/o Indian male. Histologic examination shows a hyperplastic epithelium with an underlying dense lymphoplasmacytic infiltrate containing scattered large cysts (~300µm), which have thick birefringent walls. Based on the description, the best diagnosis is:
2. All of the following are true with regards to the lesion represented in the histologic images for this case EXCEPT:

Head & Neck - Part 4, Question #6
Head & Neck - Part 4, Question #6


Head & Neck - Part 4, Question #6
Head & Neck - Part 4, Question #6


Head & Neck - Part 4, Question #6
Head & Neck - Part 4, Question #6
3. A 50 y/o male presents with a rapidly growing parotid mass. Representative images are shown. Based on the findings, the best diagnosis is:

Head & Neck - Part 4, Question #5
Head & Neck - Part 4, Question #5


Head & Neck - Part 4, Question #5
Head & Neck - Part 4, Question #5


Head & Neck - Part 4, Question #5
Head & Neck - Part 4, Question #5
4. Which of the following tests is the most sensitive and specific for Wegner’s Granulomatosis?
5. A 37 y/o man presents with an enlarge parotid gland. A mass was identified and removed. Based on the histologic findings, what is the best diagnosis?

Head & Neck - Part 4, Question #4
Head & Neck - Part 4, Question #4


Head & Neck - Part 4, Question #4
Head & Neck - Part 4, Question #4


Head & Neck - Part 4, Question #4
Head & Neck - Part 4, Question #4
6. A 20 y/o female with a “family history of thyroid cancers” presents with a thyroid mass represented in the images for this case. What is the most likely diagnosis?

Head & Neck - Part 4, Question #3
Head & Neck - Part 4, Question #3


Head & Neck - Part 4, Question #3
Head & Neck - Part 4, Question #3


Head & Neck - Part 4, Question #3
Head & Neck - Part 4, Question #3


Head & Neck - Part 4, Question #3
Head & Neck - Part 4, Question #3
7. A 20 y/o female presents with a palpable thyroid mass. Based on the histologic findings, what is the diagnosis?

Head & Neck - Part 4, Question #2
Head & Neck - Part 4, Question #2


Head & Neck - Part 4, Question #2
Head & Neck - Part 4, Question #2


Head & Neck - Part 4, Question #2
Head & Neck - Part 4, Question #2
8. All of the following are true with regards to nasopharyngeal carcinoma EXCEPT:
9. A 35 y/o black female presents with a tongue lesions illustrated in the histologic images for this question. Based on the findings, the best diagnosis is:

Head & Neck - Part 4, Question #1
Head & Neck - Part 4, Question #1


Head & Neck - Part 4, Question #1
Head & Neck - Part 4, Question #1


Head & Neck - Part 4, Question #1
Head & Neck - Part 4, Question #1


Head & Neck - Part 4, Question #1
Head & Neck - Part 4, Question #1
10. Which of the following sub-classifications of sinonasal papillomas are most often associated with carcinomas?