We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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 ......

Resident's Page

Arch Otolaryngol. 1983;109(1):64-67. doi:10.1001/archotol.1983.00800150068019.
Text Size: A A A
Published online


Daniel Remmler, MD, San Francisco  A 55-year-old woman was referred to me, after being followed up by an outside physician for one year, with persistent complaints of right-sided otalgia and right submandibular swelling. Several months after the onset of these symptoms, she noted pain at the base of the tongue. Previously, she had undergone an excisional biopsy of the right submandibular gland and an adjacent node, which disclosed only nonspecific inflammation. An otolaryngological examination at the time of referral showed a 1.5 × 2-cm firm submucosal mass located in the right side of the base of the tongue. The tongue was normally mobile. In addition, there was a 3.5 × 3.5-cm fixed mass in the right submandibular area. A chest roentgenogram was clear. A biopsy was performed. See Figs 1 through 3.What is your diagnosis?


James Cohen, MD, Leonard Rybak, 


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview





Also 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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
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


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

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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