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Clinical Problem Solving | Pathology

A Retropharyngeal Mass in a Young Boy QUIZ

Jason Showmaker, MD1; Eliav Gov-Ari, MD1
[+] Author Affiliations
1University of Missouri School of Medicine, Columbia
JAMA Otolaryngol Head Neck Surg. 2014;140(2):173-174. doi:10.1001/jamaoto.2013.6068.
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A, Magnetic resonance image of the neck; B, firm encapsulated mass being dissected from the retropharyngeal space with extensions to the carotid space; C, low-power micrograph of a specimen from oropharyngeal mass showing a Schwannian-like background of eosinophilic, spindle-shaped cells (hematoxylin-eosin, original magnification ×40); D, high-power micrograph showing clusters of well-differentiated ganglion cells with large round nuclei, prominent nucleoli, and granular basophilic Nissle substance (hematoxylin-eosin, original magnification ×100).

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