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Clinical Problem Solving: Pathology
August 16, 2010

Pathology Quiz Case 2

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Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Otolaryngol Head Neck Surg. 2010;136(8):841. doi:10.1001/archoto.2010.119-a

A 63-year-old woman presented with a 1-year history of a mass on her superior left alveolus. Although the initial lesion was approximately 1 cm in greatest dimension, rapid growth over 1 year had resulted in obvious facial distortion. The patient's medical history was noncontributory. Physical examination revealed a 5.0 × 2.5-cm, firm, nontender, submucosal mass involving the edentulous superior left alveolus (Figure 1). It extended medially onto the hard palate and superolaterally into the gingival-buccal sulcus. There was effacement of the left nasolabial fold. There were no other lesions of the upper aerodigestive tract or palpable lymphadenopathy.

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