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ROBERT E FECHNER, MD
Arch Otolaryngol Head Neck Surg. 1987;113(9):1000-1003. doi:10.1001/archotol.1987.01860090098029
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PATHOLOGIC QUIZ CASE 1  Joseph D. Stokes, MD, Youn W. Park, MD, Rootstown, OhioA 68-year-old man presented with a six-year history of bilateral mass of the parotid gland and neck. He denied any pain, tenderness, dysphagia, or hoarseness. He admitted to drinking a six-pack of beer per day and smoking approximately one pack of cigarettes per day.Physical examination revealed a large mass extending from the parotid gland into the midportion of the neck (Fig 1) that was firm, multinodular, and nontender on the right side. A similar but less extensive mass was also present on the left side. Secretion of the salivary gland through Stensen's duct was minimal bilaterally. No facial nerve paralysis or trismus was noted.Right parotidectomy with upper neck mass excision was performed, with the histopathology found in Figs 2 and 3. Excision of the left-side neck mass was done at a later date.What

REFERENCES

Batsakis JG: Tumors of the Head and Neck , ed 2. Baltimore, Williams & Wilkins, 1979;, pp 54-56.
McClatchey KD, Appelblatt NH, Langin JL:  Carcinoma in papillary cystoadenoma lymphomatosum . Laryngoscope 1982;;92:98-99.
Som PM, Shugar JM, Biller HF:  Warthin's tumor: A multifocal disease . Ann Otol Rhinol Laryngol 1982;;91:246-249.
Bone RC, Fantozzi RD, Fox R:  Extraglandular Warthin's tumors . Laryngoscope 1985;;95:682-687.
Chapnik JS:  The controversy of Warthin's tumor . Laryngoscope 1983;;93:695-716.
Foulsham CK, Johnson GS, Snyder GG, et al:  Immunohistopathology of papillary cystadenoma lymphomatosum . Ann Clin Lab Sci 1984;; 14:47-63.
Asai K, Higashi T, Iguchi M, et al:  Identification of Warthin's tumor with Tc. Oral Surg Oral Med Oral Pathol 1982;;47:601-602.
Weber L, Wick G, Gebhart W, et al:  Basement membrane components outline the tumour islands in cylindroma . Br J Dermatol 1984;;3:45-51.
Fitzpatrick TB, Eisen A, Wolff K, et al: Dermatology in General Medicine , ed 2. New York, McGraw-Hill International Book Co, 1979;, pp 494-496.
Cotton DWK, Braye SG:  Dermal cylindromas originate from the eccrine sweat gland . Br J Dermatol 1984;;3:53-61.
Headington JT, Batsakis JG, Beals TF, et al:  Membranous basal cell adenoma of parotid gland, dermal cylindromas, and trichoepitheliomas . Cancer 1977;;39:2460-2469.
Pulec JL, Parkhill EM, Devine KD:  Adenoid cystic carcinoma (cylindroma) of the external auditory canal . Trans Am Acad Ophthalmol Otolaryngol 1963;;67:673-694.
Bondeson L, Lindholm K, Thorstenson S:  Benign dermal eccrine cylindroma: A pitfall in the cytologic diagnosis of adenoid cystic carcinoma . Acta Cytol 1983;;27:326-328.
Wick MR, Goellner JR, Wolfe JT, et al:  Adnexal carcinomas of the skin: I. Eccrine carcinomas . Cancer 1985;;56:1147-1162.

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Batsakis JG: Tumors of the Head and Neck , ed 2. Baltimore, Williams & Wilkins, 1979;, pp 54-56.
McClatchey KD, Appelblatt NH, Langin JL:  Carcinoma in papillary cystoadenoma lymphomatosum . Laryngoscope 1982;;92:98-99.
Som PM, Shugar JM, Biller HF:  Warthin's tumor: A multifocal disease . Ann Otol Rhinol Laryngol 1982;;91:246-249.
Bone RC, Fantozzi RD, Fox R:  Extraglandular Warthin's tumors . Laryngoscope 1985;;95:682-687.
Chapnik JS:  The controversy of Warthin's tumor . Laryngoscope 1983;;93:695-716.
Foulsham CK, Johnson GS, Snyder GG, et al:  Immunohistopathology of papillary cystadenoma lymphomatosum . Ann Clin Lab Sci 1984;; 14:47-63.
Asai K, Higashi T, Iguchi M, et al:  Identification of Warthin's tumor with Tc. Oral Surg Oral Med Oral Pathol 1982;;47:601-602.
Weber L, Wick G, Gebhart W, et al:  Basement membrane components outline the tumour islands in cylindroma . Br J Dermatol 1984;;3:45-51.
Fitzpatrick TB, Eisen A, Wolff K, et al: Dermatology in General Medicine , ed 2. New York, McGraw-Hill International Book Co, 1979;, pp 494-496.
Cotton DWK, Braye SG:  Dermal cylindromas originate from the eccrine sweat gland . Br J Dermatol 1984;;3:53-61.
Headington JT, Batsakis JG, Beals TF, et al:  Membranous basal cell adenoma of parotid gland, dermal cylindromas, and trichoepitheliomas . Cancer 1977;;39:2460-2469.
Pulec JL, Parkhill EM, Devine KD:  Adenoid cystic carcinoma (cylindroma) of the external auditory canal . Trans Am Acad Ophthalmol Otolaryngol 1963;;67:673-694.
Bondeson L, Lindholm K, Thorstenson S:  Benign dermal eccrine cylindroma: A pitfall in the cytologic diagnosis of adenoid cystic carcinoma . Acta Cytol 1983;;27:326-328.
Wick MR, Goellner JR, Wolfe JT, et al:  Adnexal carcinomas of the skin: I. Eccrine carcinomas . Cancer 1985;;56:1147-1162.

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