FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 28-year-old woman with a 10-month history of gingival bleeding and a loose tooth was noted to have a gingival mass in the left side of her mouth. Her medical history was significant for depression, generalized fatigue, intermittent lower extremity weakness, and kidney stones. Examination revealed a 5 × 2-cm flesh-colored exophytic lesion on the leftlingual aspect of her mandible (Figure 1), as well as a loose tooth (No. 19). A panoramic x-ray film showed multiple osteolytic mandibular lesions and loss of the lamina dura surrounding the teeth (Figure 2). A tooth extraction was performed. Biopsy of the gingival mass revealed the pathologic findings shown in Figure 3. Diagnostic laboratory studies were performed.
Perlman JS, Pletcher SD, Schmidt BL, Eisele DW. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2004;130(6):791. doi:10.1001/archotol.130.6.791