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Clinical Problem Solving: Radiology
February 2003

Radiology Quiz Case 2—Diagnosis

Author Affiliations
 

R. NICKBRYANMDS. JAMESZINREICHMD

Arch Otolaryngol Head Neck Surg. 2003;129(2):260-261. doi:10.1001/archotol.129.2.259

The pathology report from the Caldwell-Luc procedure revealed papillomatosis, hyperkeratosis, and acanthosis, with areas of broad-based invasion into the stroma, findings consistent with verrucous carcinoma (Figure 3). There were also islands of moderately dysplastic carcinoma cells near a region of keratinizing mucosal dysplasia (Figure 4). This amount of atypia was more than that usually seen with verrucous carcinoma and indicated moderately differentiated squamous cell carcinoma.

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