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.