0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Problem Solving: Pathology |

Pathology Quiz Case 2

Christopher F. Thompson, MD; Vishad Nabili, MD; Marilene B. Wang, MD
JAMA Otolaryngol Head Neck Surg. 2013;139(2):197. doi:10.1001/jamaoto.2013.1280a.
Text Size: A A A
Published online

Extract

A 41-year-old man presented with a 3-month history of an enlarging mass on his uvula. His only complaint was an intermittent gagging sensation due to the mass resting on the back of his tongue. His medical history was notable only for a similar mass that had been excised from his right conjunctiva 3 years earlier.

Physical examination was remarkable for a 1.5-cm, pink, mucosally covered mass arising from the posterior surface of the uvula. Nasopharyngoscopy revealed that the mass extended from the tip of the uvula to the posterior soft palate. There were no other palpable lesions or lymphadenopathy. An incisional biopsy demonstrated that sheets of plasma cells had replaced the submucosal stroma (Figure 1 and Figure 2). On immunohistochemical staining, the cells showed κ immunoglobulin restriction represented by red cytoplasm, as only a few scattered cells exhibited brown cytoplasm from λ light-chain positivity (Figure 3).

Figures in this Article

Topics

pathology

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 3.

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();