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February 1989

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1989;115(2):244-247. doi:10.1001/archotol.1989.01860260118028

PATHOLOGIC QUIZ CASE 1  Jeffrey I. Feldman, MD, San DiegoA 66-year-old man presented with a five-year history of a gradually enlarging lesion on his right cheek. The patient described an evolution in the color of the lesion, from flesh color to dark pink. It was painless, with no episodes of drainage or bleeding reported. The patient denied previous infection, injury, or radiation at the site of the lesion. His medical history was significant for 20 years of insulindependent diabetes mellitus and for pulmonary tuberculosis treated 25 years previously without recurrence.Physical examination revealed a 2 × 1.5-cm firm nonblottable mass inferolateral to the patient's right infraorbital rim (Figs 1 and 2). The nodule was pinkish where superficial, inferiorly, and covered with normal-appearing, freely moveable skin superiorly. The actual mass was mobile and nontender. There was no facial or cervical adenopathy. The patient was taken to the outpatient operating

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