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Volume 129 - February 2015

Contents

Page 17 of 18

Clinical Records

  • Multifocal extraparotid Warthin's tumours mimicking metastatic squamous cell carcinoma of the upper neck

  • S G Mistry, D Gouldesbrough, C Bem
  • Published online by Cambridge University Press:
    31 March 2015, pp. 513-516
  • Background:

    Warthin's tumours can show features of pseudo-neoplasia. They do not usually cause problems for diagnosis and management when present within the parotid gland. However, extraparotid Warthin's tumours that are associated with pseudo-neoplasia upon cytological analysis can mimic metastatic malignant disease. The case of a patient presenting with multifocal extraparotid Warthin's tumours is described.

    Case report:

    A 57-year-old male smoker presented with rapidly growing upper neck lumps. Fine needle aspiration cytology, magnetic resonance imaging and positron emission tomography findings were compatible with metastatic squamous cell carcinoma secondary to either an unknown primary upper aerodigestive or a parotid malignancy. The patient subsequently underwent total conservative parotidectomy and modified radical neck dissection. Final histology findings revealed multifocal benign Warthin's tumours with four extraparotid components.

    Conclusion:

    Warthin's tumours may present outside the parotid gland, present with multifocal lesions and mimic metastatic disease. Frozen section examination prior to radical resection should be considered to guide management.

Book Reviews

Online Only Abstract Selection

  • ENT trainee papers presented at the ENT Scotland Winter Meeting, 21 November 2014, Sterling, Scotland, UK

  • Published online by Cambridge University Press:
    14 October 2015, e4
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Front Cover (OFC, IFC) and matter

  • JLO volume 129 issue 1 Cover and Front matter

  • Published online by Cambridge University Press:
    06 February 2015, pp. f1-f4
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Letter to the Editors

Erratum

Book Reviews

Online Only Clinical Record

  • Neuralgic amyotrophy associated with temporary vocal fold paralysis: successful treatment by vocal fold augmentation with hyaluronic acid

  • K Geißler, C M Klingner, O Guntinas-Lichius, T Bitter
  • Published online by Cambridge University Press:
    17 March 2015, e1
  • Background:

    Neuralgic amyotrophy is a polyneuropathy that classically involves the brachial plexus. This paper reports an unusual clinical manifestation associated with vocal fold paralysis.

    Case report:

    A 36-year-old male presented with hoarseness and progressive weakness of the right shoulder and upper arm muscles. Laryngoscopy revealed a limited adduction of the right vocal fold.

    Results:

    Subsequent speech therapy did not improve the symptoms. Therefore, vocal fold augmentation by application of hyaluronic acid in the right vocal fold was performed.

    Conclusion:

    Vocal fold augmentation with resorbable material seems to be a more effective transient treatment than speech therapy alone for patients with neuralgic amyotrophy and laryngeal involvement.

Online Only Abstract Selection

Front Cover (OFC, IFC) and matter

  • JLO volume 129 issue 6 Cover and Front matter

  • Published online by Cambridge University Press:
    15 June 2015, pp. f1-f4
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Back Cover (IBC, OBC) and matter

  • JLO volume 129 issue 1 Cover and Back matter

  • Published online by Cambridge University Press:
    06 February 2015, pp. b1-b2
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Letter to the Editors

Front Cover (OFC, IFC) and matter

  • JLO volume 129 issue 11 Cover and Front matter

  • Published online by Cambridge University Press:
    02 November 2015, pp. f1-f4
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Book Reviews

Front Cover (OFC, IFC) and matter

  • JLO volume 129 issue 7 Cover and Front matter

  • Published online by Cambridge University Press:
    08 July 2015, pp. f1-f4
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Back Cover (IBC, OBC) and matter

  • JLO volume 129 issue 11 Cover and Back matter

  • Published online by Cambridge University Press:
    02 November 2015, pp. b1-b2
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Front Cover (OFC, IFC) and matter

  • JLO volume 129 issue 4 Cover and Front matter

  • Published online by Cambridge University Press:
    24 April 2015, pp. f1-f4
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Back Cover (IBC, OBC) and matter

  • JLO volume 129 issue 6 Cover and Back matter

  • Published online by Cambridge University Press:
    15 June 2015, pp. b1-b2
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Page 17 of 18