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December 1991

Nonhealing Masses of the Right Cheek and Submandibular Areas

Author Affiliations

Naval Hospital, San Diego, Calif

Arch Dermatol. 1991;127(12):1831-1836. doi:10.1001/archderm.1991.04520010077013

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REPORT OF A CASE  In March 1989, a 49-year-old man presented with a 1-year history of nonhealing, mildly tender masses of his right cheek and submandibular area. The physical examination, except for that of the head and neck, showed normal findings. A 2-cm firm, mobile mass was observed over the right buccinator muscle; a similar mass was also seen in the right submandibular area (Figs 1 and 2). The roentgenograms from 1988 were reviewed (Fig 3). Laboratory studies, including complete blood cell count, showed normal findings. The test for human immunodeficiency virus was negative.The patient's history was significant; in March 1988, it was noted that he had an abscess lateral to tooth 31 with associated tender cervical lymph nodes. He had undergone periodontal scaling with a root canal procedure, and he received penicillin (250 mg orally four times a day) for 10 days. In April 1988, skin nodules developed

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