Huge symptomatic oropharyngeal mass with airway compromise and advanced nodal involvement.

An fibroscopic biopsy was performed.

Oropharyngeal biopsy:   Diffuse large B cell lymphoma (CD20,CD79a,BCl 6 positive, CD5,CD10,CD56 and cyclin D1 negative)

Another example of an extreme head and neck space pathology.  It continues to amaze me how late many patients present with pathology.