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Clinical Problem Solving: Pathology
April 2013

Pathology Quiz Case 1

Author Affiliations
 

SECTION EDITOR: EDWARD B. STELOW, MD

JAMA Otolaryngol Head Neck Surg. 2013;139(4):423. doi:10.1001/jamaoto.2013.119a

A 51-year-old man presented with a 2-year history of severe oral ulcerative lesions of the left side of the tongue and buccal mucosa that had been slowly enlarging. He had been treated by various emergency departments with antibiotics without resolution. He also reported occasional hemoptysis with blood-tinged sputum, and a 22.7-kg weight loss owing to pain that prevented him from eating. He denied any neck mass, difficulty breathing, skin lesions, epistaxis, or voice changes. He was a former smoker, having quit 3 years prior, but had an extensive history of tobacco use.

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