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Clinical Problem Solving
July 2013

Tumor of Maxilla in a Patient With Hypercalcemia

Author Affiliations
  • 1David Geffen School of Medicine at University of California, Los Angeles
  • 2University of Toledo College of Medicine, Toledo, Ohio
  • 3University of California, Los Angeles, Medical Center, Sylmar
JAMA Otolaryngol Head Neck Surg. 2013;139(7):741-742. doi:10.1001/jamaoto.2013.3431

A 43-year-old man was referred to the head and neck clinic with a 6-month history of a slowly growing maxillary mass. He also reported a 7-year history of right hip pain radiating down to his lower extremity. He was a heavy alcohol user and smoked 5 cigarettes per day, and was once hospitalized for kidney stones. The rest of his medical history was unremarkable. Examination of the oral cavity demonstrated an edentulous maxilla with a firm, nonfluctuant, mildly tender, ulcerated mass arising from the left anterior aspect (Figure, A). The rest of his physical examination was unremarkable.

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