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Clinical Problem Solving: Radiology
June 2006

Radiology Quiz Case 2

Author Affiliations

University of North Carolina School of Medicine, Chapel Hill (Mr Ardeshirpour and Drs Ebert and Weissler), and The Johns Hopkins University School of Medicine, Baltimore, Md (Dr Dubin)

 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2006;132(6):691. doi:10.1001/archotol.132.6.691-a

A 28-year-old African American man presented with a 1-year history of left-sided maxillary oral pain and purulent drainage. There was no history of trauma or dental problems. He reported no associated dysphagia, weight loss, or otalgia. He had a 5 pack-year smoking history and rarely drank alcohol. His oral cavity and oropharynx had a foul smell on examination, and a 3 × 3-cm ulcerative mass with purulent drainage was observed in the left maxillary alveolus, posterior to tooth number 16. There was a bone at the base of the ulcer and some hyperpigmented areas on the buccal mucosa. Inspection of the nasal mucosa, septum, and turbinates with anterior rhinoscopy revealed no abnormalities. Biopsy of the lesion was performed, and the findings were nondiagnostic.

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