Neoplasms

Question 1

Acoustic Neuroma (Vestibular Schwannoma)

Answer 1

• 85% of all cerebellopontine tumors in adults
• RF: NF type 2, loud noise exp, pedi rad exp, ho parathyroid adenoma, cell phone use
• s/s: unilateral SNHL, tinnitus, facial nerve sx
• MRI
• surg/rad if large, young pt, or sig HL otherwise monitor via serial img & audiometry

Question 2

SCC (ear)

Answer 2

• nonresolving otitis externa

- high mort rate

Question 3

Inverted papilloma (nose/sinus)

Answer 3

• b9, HPV
• s/s: obstruction, hemorrhage
• tx: excise (assoc w/ SCC)

Question 4

Juvenile angiofibroma (nose/sinus)

Answer 4

• b9 vasc tumor
• s/s: obstruction, hemorrhage
• tx: surg excision

Question 5

SCC (nose/sinus)

Answer 5

• nasopharynx or sinuses

- s/s: ET obstruction, serous otitis media

Question 6

Nasopharyngeal carcinoma

Answer 6

• assoc w/ EBV

Question 7

Salivary gland neoplasms

Answer 7

• MC parotid, b9

Question 8

Vocal fold nodules

Answer 8

• b9, “singer’s nodules”

- tx: speech therapy

Question 9

Vocal fold polyps or cysts

Answer 9

• b9, prev trauma

Question 10

Laryngeal leukoplakia

Answer 10

• smoking, ?SCC = bx

Question 11

Laryngeal SCC

Answer 11

• MC malignancy of larynx
• s/s: new & persistent hoarseness in smoker, persistent throat/ear pain, neck mass, hemoptysis, stridor
• CT, laryngoscopy w/ bx, esophagoscopy, bronchoscopy
• tx: rad or partial laryngectomy, chemo if late stage