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Clinical Challenge
February 28, 2019

Submucosal Masses of the Right Upper Lip

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas
JAMA Otolaryngol Head Neck Surg. 2019;145(4):385-386. doi:10.1001/jamaoto.2018.4363

A woman in her 60s reported right upper lip submucosal masses that had been present for several weeks. She denied associated pain, bleeding, or recent trauma to the lip. She also denied any other constitutional symptoms. Her social history was significant for a 45–pack-year smoking history and social drinking. On physical examination, the patient had right upper lip submucosal masses without any tenderness or mucosal abnormality. The remainder of the otolaryngic examination was unremarkable. A computed tomographic scan of the neck with contrast demonstrated multiple hyperenhancing nodules; the largest was 3 × 7 × 6 mm, with no local bony erosion or cervical lymphadenopathy (Figure 1).