Oropharyngeal Fine Needle Aspiration on a 54 Year Old Woman
Marino E. Leon, MD
Presentation Date: March 2015; Expires: March 2018
A 54 year old Caucasian female with a prior medical history significant for tobacco use, hyperthyroidism, renal calculi, and grand mal seizures presented with left-sided throat pain, left ear pain, and sensation of fullness in her mouth. On physical examination, an oropharyngeal mass arising in the left tonsil, showing extensive submucosal involvement, and deviating the soft palate and uvula was noted. Additionally, palpation of the neck revealed some fullness in the upper jugulodigastric region. A Computed Tomography (CT) scan showed a mass in the left oropharynx with extension into the surrounding soft tissues submucosally; this lesion was hypermetabolic on a PET scan. Additionally, there was at least one lymph node with necrotic appearance in the upper neck, level II region. A fine needle aspiration of the oropharyngeal lesion was performed.