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Clinical Problem Solving: Pathology
August 2003

Pathology Quiz Case

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2003;129(8):897. doi:10.1001/archotol.129.8.897

A 16-YEAR-OLD boy presented with a slowly enlarging solid, nonpainful mass in the body of the mandible. He stated that he had had a similar slowly enlarging mass in the same region 7 years earlier and that the mass had been excised. He was otherwise healthy. Physical examination revealed a 3 × 4-cm, nontender, rubberlike mass adhering to the body of the mandible and covered with normal-appearing mucosa. The results of the rest of clinical examination of the patient's head and neck were unremarkable. An x-ray film of the mental region showed a well-defined radiolucent unilocular area. A computed tomographic scan of the mandible revealed a depression of the buccal cortical plate of the mandiblein the mental region and a unilocular radiolucent lesion with sclerotic margins.

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