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November 1967

The Resident's Page

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Arch Otolaryngol. 1967;86(5):590-593. doi:10.1001/archotol.1967.00760050592021

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A 72-year-old white man noticed a small lump just beneath the right side of his jaw. It gradually enlarged over the course of three months, failing to respond to several courses of antibiotics. There was no sore throat, hoarseness, nor any other symptoms referable to his oropharynx or upper respiratory and food passages. It had been biopsied previously with a resultant pathologic diagnosis of "epidermoid carcinoma."

Examination revealed a mass in the right submaxillary triangle which measured approximately 6 cm in diameter. It was felt to be attached to the mandible. The mass extended into the submental triangle with definite involvement of the overlying skin. No other nodes were palpable in either side of his neck and careful examination of his oropharynx, nasopharynx, larynx, and hypopharynx were felt to be normal. Bimanual palpation confirmed that the mass was indeed attached to the mandible. The submaxillary gland on that side could

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