DZI20-139: ENT

From MGH Learn Pathology

Request type Study
Subspecialty Head and Neck
Set Frozens Study Set 2020
Topic ENT
Presenter NS495 (user needs to log in to Learn Pathology)

Toggle columns: Diagnosis

Case Clinical history Requester Diagnosis
Case Clinical history Requester Diagnosis

Case 1

53 yo M with right facial mass null Cellular dense collagenous tissue (permanent dx: nodular fasciitis)

Case 2

20 yo F with thyroid cancer; enlarged lymph node null Numerous psammoma bodies consistent with metastatic papillary thyroid cancer

Case 3

35 yo F with primary hyperparathyroidism; thyroid vs. parathyroid null Chronic lymphocytic thyroiditis

Case 4

61 yo M with large vocal fold lesion null Squamous mucosa with underlying hemorrhage and foreign body giant cell reaction with no evidence of neoplasm

Case 5

66 yo M with right nasal mass null Schneiderian papilloma inverted type

Case 6

50 yo F with history of sinonasal squamous cell carcinoma with concern for recurrence null Infiltrating carcinoma with polypoid granulation tissue (permanent dx: invasive squamous cell carcinoma non-keratinizing)

Case 7

13 yo F with mandibular lesion null Benign fibro-osseous lesion

Case 8

71 yo M with left parotid mass null Pleomorphic adenoma

Case 9

18 yo M with mandible lesion null Odontogenic keratocyst

Case 10

58 yo M left mandibular lesion null Squamous lined tissue with chronic inflammation suggestive of keratocystic odontogenic tumor (permanent diagnosis: keratocystic odontogenic tumor)

Case 11

58 yo F with left maxillary sinus lesion null Inflammatory polyp

Case 12

31 yo F right mastoid lesion null Fibro-osseous lesion most consistent with fibrous dysplasia

Case 13

55 yo M with oropharyngeal squamous cell carcinoma undergoing resection null Squamous mucosa with sialometaplasia

Case 14

63 yo M with laryngeal/pharyngeal stenosis null *Slide 1 (epiglottis): Atypical squamoproliferative lesion with intraepithelial acute inflammation and focal dyskeratosis. Although worrisome there are no overt features of malignancy (permanent dx: squamous mucosa with intramucosal acute and chronic inflammation and extensive reactive changes)
  • Slide 2 (Left supraglottis): Invasive squamous cell carcinoma

Case 15

36 yo M with GVHD on immunosuppression null Invasive fungal sinusitis with vascular and stromal invasion